Individual
BARBARA J BACKUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1650 S 41ST ST, MANITOWOC, WI 54220-7316
(920) 320-4500
(920) 682-9378
Mailing address
PO BOX 2290, MANITOWOC, WI 54221-2290
(920) 320-4500
(920) 682-9378
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
87844
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003306
TOUCHPOINT
WI
01
—
31926
NETWORK HEALTH
WI
01
—
390806395
WEA
WI
01
—
390806395008
TRICARE
WI
05
—
43921300
—
WI
01
—
50015958
MEDICARE RAILROAD
WI
01
—
P07429
CIGNA
WI
Enumeration date
08/21/2006
Last updated
10/17/2011
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