Fastner, Mark R

Fastner, Mark R is an individual health care provider with primary practice located at 1811 Weir Drive Suite 355 Mail Stop 13701A, Woodbury MN 55125-2273. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Fastner, Mark R can be contacted via phone (651) 730-6151.

Contact Information

Primary practice address
1811 Weir Drive Suite 355 Mail Stop 13701A Woodbury MN 55125-2273
Phone: (651) 730-6151
Fax: (651) 730-1700
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2844 Minnesota

Profile Details

NPI number 1942278577
LBN Legal business name Fastner, Mark R
Credentials MA LP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Jul 8th, 2007 - about 17 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.

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