Backus, Andrew W.

Backus, Andrew W. is an sole proprietor health care provider with primary practice located at 6 Heartland Dr Suite C, Bloomington IL 61704-7736. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Backus, Andrew W. can be contacted via phone (309) 663-0303.

Contact Information

Primary practice address
6 Heartland Dr Suite C Bloomington IL 61704-7736
Phone: (309) 663-0303
Fax: (309) 663-0161
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 046-006702 Illinois

Profile Details

NPI number 1336131259
LBN Legal business name Backus, Andrew W.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 17th, 2005
Last updated Aug 11th, 2014 - about 10 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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