Backus, Scott R.

Backus, Scott R. is an individual health care provider with primary practice located at 6111 Executive Blvd , Rockville MD 20852-3911. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Backus, Scott R. can be contacted via phone (301) 255-4000.

Contact Information

Primary practice address
6111 Executive Blvd Rockville MD 20852-3911
Phone: (301) 255-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 0101247623 Virginia

Profile Details

NPI number 1780864678
LBN Legal business name Backus, Scott R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2007
Last updated Jun 14th, 2021 - about 5 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 1780864678 NPPES
Virginia MEDICAID 1780864678
Virginia MEDICAID PENDING

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