Backus, Charles L

Backus, Charles L is an individual health care provider with primary practice located at 273 Highway 11 E , Bulls Gap TN 37711-3433. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Backus, Charles L can be contacted via phone (423) 393-4146.

Contact Information

Primary practice address
273 Highway 11 E Bulls Gap TN 37711-3433
Phone: (423) 393-4146
Fax: (423) 393-4377
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X DO1551 Tennessee

Profile Details

NPI number 1801856414
LBN Legal business name Backus, Charles L
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2006
Last updated Sep 20th, 2023 - about 2 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 1801856414 NPPES
Tennessee MEDICAID 3300057

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