Organization Name: | FAST TRACK BILLING INC |
NPI Number: | 1639484025 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | EKATERINA SERGEEVA (OWNER) |
Mailing Address: | 50 W Broadway Suite 1000 Salt Lake City |
State: | UT US |
Postal Code: | 841012020 |
Phone Number: | 8018838315 |
Fax Number: | |
NPI Enumeration Date: | 08/10/2010 |
NPI Last Update Date: | 08/10/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |