Backus, Jonathon David
Backus, Jonathon David is an individual health care provider with primary practice located at 181 W Meadow Dr Ste 400 , Vail CO 81657-5058. He recently has only one registered license in Allopathic & Osteopathic Physicians / Foot and Ankle Surgery, which is considered as his primary health care specialty. Backus, Jonathon David can be contacted via phone (970) 476-1100.Contact Information
Primary practice address
181 W Meadow Dr Ste 400
Vail CO 81657-5058
Phone: (970) 476-1100
Fax: (970) 479-5835
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Foot and Ankle Surgery | 207XX0004X | 2019009680 | Missouri |
Allopathic & Osteopathic Physicians / Foot and Ankle Surgery | 207XX0004X | 0054772 | Colorado |
Profile Details
NPI number | 1548587900 |
---|---|
LBN Legal business name | Backus, Jonathon David |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 26th, 2010 |
Last updated | Aug 29th, 2023 - about last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1548587900 | NPPES |
Missouri | MEDICAID | 200068535 |
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