Backenstoe, Joan Elyse

Backenstoe, Joan Elyse is an sole proprietor health care provider with primary practice located at 3147 College Heights Blvd , Allentown PA 18104-4813. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Backenstoe, Joan Elyse can be contacted via phone (610) 841-2432.

Contact Information

Primary practice address
3147 College Heights Blvd Allentown PA 18104-4813
Phone: (610) 841-2432
Fax: (610) 841-4433
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN184932L Pennsylvania

Profile Details

NPI number 1457345035
LBN Legal business name Backenstoe, Joan Elyse
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 9th, 2005
Last updated Apr 11th, 2008 - about 17 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 1457345035 NPPES
Pennsylvania Other P00456743 RAILROAD MEDICARE
Pennsylvania Other 1466649 RAILROAD MEDICARE
Pennsylvania Other 20035314 RAILROAD MEDICARE
Pennsylvania MEDICAID 0016767680004 RAILROAD MEDICARE

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