Backe, Kimberly Ann

Backe, Kimberly Ann is an individual health care provider with primary practice located at 7001 S Howell Ave 800, Oak Creek WI 53154-1407. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Backe, Kimberly Ann can be contacted via phone (414) 856-0303.

Contact Information

Primary practice address
7001 S Howell Ave 800 Oak Creek WI 53154-1407
Phone: (414) 856-0303
Fax: (414) 856-9991
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 4735024 Wisconsin

Profile Details

NPI number 1073607834
LBN Legal business name Backe, Kimberly Ann
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Apr 1st, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073607834 NPPES
Wisconsin MEDICAID 40385200

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