Backus, Mark A

Backus, Mark A is an individual health care provider with primary practice located at 2239 Ne Doctors Dr Ste 200 , Bend OR 97701-7185. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Backus, Mark A can be contacted via phone (541) 318-0124.

Contact Information

Primary practice address
2239 Ne Doctors Dr Ste 200 Bend OR 97701-7185
Fax: (541) 318-0188
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD22701 Oregon

Profile Details

NPI number 1588693105
LBN Legal business name Backus, Mark A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Feb 20th, 2020 - about 6 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 1588693105 NPPES
Oregon MEDICAID 288094

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