Backofen, Shannon M.
Backofen, Shannon M. is an individual health care provider with primary practice located at 318 Carroll St , Shreveport LA 71105-4132. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Backofen, Shannon M. can be contacted via phone (318) 865-2250.Contact Information
Primary practice address
318 Carroll St
Shreveport LA 71105-4132
Phone: (318) 865-2250
Fax: (318) 865-3751
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 4600 | Louisiana |
Profile Details
| NPI number | 1306075718 |
|---|---|
| LBN Legal business name | Backofen, Shannon M. |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2009 |
| Last updated | Jul 7th, 2009 - about 16 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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