Backstrom, Amy L

Backstrom, Amy L is an individual health care provider with primary practice located at 1302 S Main St , Waterbury CT 06706-1748. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Backstrom, Amy L can be contacted via phone (203) 597-9044.

Contact Information

Primary practice address
1302 S Main St Waterbury CT 06706-1748
Phone: (203) 597-9044
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 006868 Connecticut

Profile Details

NPI number 1427530575
LBN Legal business name Backstrom, Amy L
Credentials RDH, MS
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2018
Last updated Sep 5th, 2018 - about 7 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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