Individual
DR. VERNE L BACKUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.P.H.
Contact information
Practice address
260 CREST RD, STE 101, SWANTON, VT 05488
(802) 524-1223
(802) 524-1095
Mailing address
260 CREST RD, STE 101, SWANTON, VT 05488
(802) 524-1223
(802) 524-1095
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
042-0009809
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39665
BLUE CROSS PROVIDER NUMBE
VT
01
—
5734535
CIGNA PROVIDER NUMBER
VT
01
—
740518
MVP PROVIDER NUMBER
VT
Enumeration date
09/20/2006
Last updated
07/08/2007
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