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DR. JEFFREY CAMERON BACKOFEN DO NPI 1720722473


NPI Information

NPI: 1720722473
Provider Name: DR. JEFFREY CAMERON BACKOFEN, DO
Classification: Military Health Care Provider - 171000000X
Entity Type: Individual
Address:
420 POLIFKA DR BLDG 1042
SHAW AFB, SC
ZIP 29152
Phone: (803) 895-6191
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DR. Jeffrey Cameron Backofen, DO is a military health care provider in Shaw Afb, SC. The provider is active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. DR. Jeffrey Cameron Backofen, DO NPI is 1720722473. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

420 POLIFKA DR BLDG 1042
SHAW AFB, SC
ZIP 29152-100
Phone: (803) 895-6191

The enumeration date for this NPI number is 4/27/2022 and was last updated on 11/3/2023.


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
1171000000XMilitary Health Care Provider90973SOUTH CAROLINAYes

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.