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
Fax: (970) 479-5835
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548587900 NPPES
Missouri MEDICAID 200068535

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