National Provider Identifier Database

FASTRAX URGENT CARE
Urgent Care


Contact Information

FASTRAX URGENT CARE
2002 STOCKTON HILL RD
STE
KINGMAN, AZ86401-4698
Phone: 928-753-3303
Fax:
Website:
Specialty Taxonomy Code
* Urgent Care 261QU0200X

* Indicates primary specialty

NPI Profile & details for FASTRAX URGENT CARE

NPI Number 1861646432
Legal business name
LBN
FASTRAX URGENT CARE
Authorized official DONOVAN SCHMIDT - (MANAGING PARTNER)
Entity Organization
Organization subpart No
Enumeration date 11/10/2008
Last updated 11/10/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • AZ License #: OTC3597

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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