Backus, Barbara J

Backus, Barbara J is an individual health care provider with primary practice located at 1650 S 41St St , Manitowoc WI 54220-7316. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Backus, Barbara J can be contacted via phone (920) 320-4500.

Contact Information

Primary practice address
1650 S 41St St Manitowoc WI 54220-7316
Fax: (920) 682-9378
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 87844 Wisconsin

Profile Details

NPI number 1013023597
LBN Legal business name Backus, Barbara J
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2006
Last updated Oct 17th, 2011 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1013023597 NPPES
Wisconsin Other 390806395 WEA
Wisconsin MEDICAID 43921300 WEA
Wisconsin Other 50015958 WEA
Wisconsin Other P07429 WEA
Wisconsin Other 1003306 WEA
Wisconsin Other 31926 WEA
Wisconsin Other 390806395 WEA
Wisconsin Other 390806395008 WEA

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