Backs, Jack Fredrick
Backs, Jack Fredrick is an sole proprietor health care provider with primary practice located at 154 State Route 100 W , Hermann MO 65041-1526. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Backs, Jack Fredrick can be contacted via phone (573) 486-3500.Contact Information
Primary practice address
154 State Route 100 W
Hermann MO 65041-1526
Phone: (573) 486-3500
Fax: (573) 486-3166
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DE 015082 | Missouri |
Profile Details
| NPI number | 1104046556 |
|---|---|
| LBN Legal business name | Backs, Jack Fredrick |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 26th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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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