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BACKUS PHYSICIAN SERVICES LLC NPI 1174782767


NPI Information

NPI: 1174782767
Provider Name: BACKUS PHYSICIAN SERVICES, LLC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
12 CASE ST
SUITE 313
NORWICH, CT
ZIP 06360
Phone: (860) 204-9126
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BACKUS PHYSICIAN SERVICES, LLC is a specialist in Norwich, CT. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. BACKUS PHYSICIAN SERVICES, LLC NPI is 1174782767. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

12 CASE ST
SUITE 313
NORWICH, CT
ZIP 06360-222
Phone: (860) 204-9126
Fax: (860) 204-9146

The provider's authorized official is Daniel Lohr .
The authorized official title is Vice President and has the following contact phone number (860) 889-8331.

The enumeration date for this NPI number is 6/9/2008 and was last updated on 10/4/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208C00000XColon & Rectal SurgeryNo
2208600000XSurgeryNo
3208000000XPediatricsNo
4207R00000XInternal MedicineNo
5208200000XPlastic SurgeryNo
62082S0105XPlastic SurgerySurgery of the HandNo
7207Q00000XFamily MedicineNo
8363L00000XNurse PractitionerNo
9174400000XSpecialistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1D100000126MEDICARE PINCONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.