Organization
BACKOS PHYSICAL MEDICINE AND REHABILITATION CLINICE PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC BACKOS MD (OWNER)
(586) 755-9855
Entity
Organization
Contact information
Practice address
27423 VAN DYKE AVE, WARREN, MI 48093-2867
(586) 755-9855
(586) 755-9880
Mailing address
27423 VAN DYKE AVE, WARREN, MI 48093-2867
(586) 755-9855
(586) 755-9880
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
4301048249
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
$$$$$$$$$
SOCIAL SECURITY
—
Enumeration date
07/09/2006
Last updated
08/22/2020
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