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Individual

ZACHARY BACKLIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DNP

Contact information

Practice address
106 W CUMBERLAND ST, GREENUP, IL 62428-1072
(217) 849-4199
Mailing address
PO BOX 232, TOLEDO, IL 62468-0232
(217) 273-3017

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209019479
IL
363LF0000X
Family Nurse Practitioner
209019479
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
277.001827
IL
363LP2300X
Primary Care Nurse Practitioner
229454
AZ

Other

Enumeration date
05/23/2019
Last updated
07/27/2023
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