Fastenberg, Nathaniel
Fastenberg, Nathaniel is an individual health care provider with primary practice located at 6111 E Arbor Ave , Mesa AZ 85206-6059. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as his primary health care specialty. Fastenberg, Nathaniel can be contacted via phone (480) 981-1326.Contact Information
Primary practice address
6111 E Arbor Ave
Mesa AZ 85206-6059
Phone: (480) 981-1326
Fax: (480) 981-1445
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | 11622 | Arizona |
Profile Details
| NPI number | 1417942905 |
|---|---|
| LBN Legal business name | Fastenberg, Nathaniel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 12th, 2005 |
| Last updated | Jun 4th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417942905 | NPPES |
| Arizona | Other | 236217 | AHCCCS |
| Arizona | Other | P00329821 | AHCCCS |
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