Faust, Robert Logan

Faust, Robert Logan is an individual health care provider with primary practice located at 1210 Sonoma Ave Suite B, Santa Rosa CA 95405. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Faust, Robert Logan can be contacted via phone (707) 544-5093.

Contact Information

Primary practice address
1210 Sonoma Ave Suite B Santa Rosa CA 95405
Phone: (707) 544-5093
Fax: (707) 528-8444
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X A46484 California

Profile Details

NPI number 1891766861
LBN Legal business name Faust, Robert Logan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated Mar 7th, 2023 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1891766861 NPPES
California MEDICAID 00A464840
California Other A46484

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