Backes, Shannon K

Backes, Shannon K is an individual health care provider with primary practice located at 27650 Ferry Rd , Warrenville IL 60555-3845. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Backes, Shannon K can be contacted via phone (630) 225-2663.

Contact Information

Primary practice address
27650 Ferry Rd Warrenville IL 60555-3845
Phone: (630) 225-2663
Fax: (630) 225-2399
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085003333 Illinois

Profile Details

NPI number 1386896793
LBN Legal business name Backes, Shannon K
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2008
Last updated Aug 11th, 2009 - about 15 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 1386896793 NPPES
Illinois Other P00704413 MEDICARE RAILROAD

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