Individual
MR. PAUL ROGER BACKUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
550 FORT LOUDOUN MEDICAL CENTER DRIVE, LENOIR CITY, TN 37772-5673
(865) 777-0909
(865) 777-0910
Mailing address
12752 KINGSTON PIKE, STE E202, KNOXVILLE, TN 37934-0948
(865) 777-0909
(865) 777-0910
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
51127
TN
367500000X
Certified Registered Nurse Anesthetist
5986A
KY
367500000X
Certified Registered Nurse Anesthetist
9088
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000616087
BLUE CROSS/BLUE SHIELD
KY
01
—
100021676
PHP TENNCARE
TN
05
—
1502526
—
TN
01
—
3037713
BLUECARE
TN
05
—
3600330
—
TN
01
—
4173676
BLUE CROSS/BLUE SHIELD
TN
01
—
430009899
MEDICARE TRAVELERS
TN
01
—
P00479791
RAILROAD MEDICARE PIN
TN
01
—
P00810612
RAILROAD MEDICARE PIN
KY
Enumeration date
06/20/2006
Last updated
01/11/2011
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