Fast, Joel N
Fast, Joel N is an individual health care provider with primary practice located at 20673 Sw Roy Rogers Rd Ste. 201, Sherwood OR 97140-9222. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Fast, Joel N can be contacted via phone (503) 925-0588.Contact Information
Primary practice address
20673 Sw Roy Rogers Rd Ste. 201
Sherwood OR 97140-9222
Phone: (503) 925-0588
Fax: (503) 925-0418
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DE00010671 | Washington |
Profile Details
| NPI number | 1467595363 |
|---|---|
| LBN Legal business name | Fast, Joel N |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 14th, 2007 |
| Last updated | Jun 7th, 2010 - about 16 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 | 1467595363 | NPPES |
| Washington | MEDICAID | 5051677 | |
| Washington | Other | 0214008 |
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