Backert, Antonette

Backert, Antonette is an individual health care provider with primary practice located at 6491 Burke Rd , Lake View NY 14085-9733. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Backert, Antonette can be contacted via phone (716) 200-6828.

Contact Information

Primary practice address
6491 Burke Rd Lake View NY 14085-9733
Phone: (716) 200-6828
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 2770144 New York

Profile Details

NPI number 1962154161
LBN Legal business name Backert, Antonette
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2022
Last updated Jan 19th, 2022 - about 3 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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