Backer, Jonathan E

Backer, Jonathan E is an sole proprietor health care provider with primary practice located at 1551 E Main St , Cottage Grove OR 97424-2241. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Backer, Jonathan E can be contacted via phone (541) 942-8437.

Contact Information

Primary practice address
1551 E Main St Cottage Grove OR 97424-2241
Phone: (541) 942-8437
Fax: (541) 942-1350
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D7805 Oregon
Dental Providers / General Practice 1223G0001X D7805 Oregon

Profile Details

NPI number 1477629046
LBN Legal business name Backer, Jonathan E
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 27th, 2006
Last updated Jan 9th, 2019 - about 7 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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