Individual
MICHAEL BACKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
134 STATE ST, MERIDEN, CT 06450-3293
(203) 237-2229
(203) 686-1677
Mailing address
19 GRAND ST, MIDDLETOWN, CT 06457-2705
(860) 347-6971
(860) 343-7379
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
10.212557
CT
363L00000X
Nurse Practitioner
Primary
16675
CT
Other
Enumeration date
01/22/2025
Last updated
05/14/2026
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