Backman, Tonia Yvette
Backman, Tonia Yvette is an individual health care provider with primary practice located at 1810 North 2Nd Street , Wausau WI 54403. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Backman, Tonia Yvette can be contacted via phone (715) 848-4884.Contact Information
Primary practice address
1810 North 2Nd Street
Wausau WI 54403
Phone: (715) 848-4884
Fax: (715) 845-5385
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 127692-121 | Wisconsin |
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 8836-123 | Wisconsin |
Profile Details
| NPI number | 1033468947 |
|---|---|
| LBN Legal business name | Backman, Tonia Yvette |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 6th, 2012 |
| Last updated | Jan 4th, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033468947 | NPPES |
| Wisconsin | MEDICAID | 100028416 |
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