Backofen, Joanne E

Backofen, Joanne E is an individual health care provider with primary practice located at 1114 Sunset Dr Ste 4, Johnson City TN 37604-2969. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Backofen, Joanne E can be contacted via phone (423) 283-0776.

Contact Information

Primary practice address
1114 Sunset Dr Ste 4 Johnson City TN 37604-2969
Phone: (423) 283-0776
Fax: (423) 283-0549
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD0000024841 Tennessee

Profile Details

NPI number 1114924537
LBN Legal business name Backofen, Joanne E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Nov 20th, 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 1114924537 NPPES
Tennessee MEDICAID 3079258

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