Backman, Grant

Backman, Grant is an individual health care provider with primary practice located at 5200 Fairview Blvd , Wyoming MN 55092-8013. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Backman, Grant can be contacted via phone (651) 464-4611.

Contact Information

Primary practice address
5200 Fairview Blvd Wyoming MN 55092-8013
Phone: (651) 464-4611
Fax: (651) 464-7627
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 2725 Minnesota

Profile Details

NPI number 1093384984
LBN Legal business name Backman, Grant
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2021
Last updated Jan 23rd, 2023 - about 2 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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