Backus, Paul Roger
Backus, Paul Roger is an individual health care provider with primary practice located at 550 Fort Loudoun Medical Center Drive , Lenoir City TN 37772-5673. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Backus, Paul Roger can be contacted via phone (865) 777-0909.Contact Information
Primary practice address
550 Fort Loudoun Medical Center Drive
Lenoir City TN 37772-5673
Phone: (865) 777-0909
Fax: (865) 777-0910
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 51127 | Tennessee |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 5986A | Kentucky |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 9088 | Tennessee |
Profile Details
| NPI number | 1790721876 |
|---|---|
| LBN Legal business name | Backus, Paul Roger |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 20th, 2006 |
| Last updated | Jan 11th, 2011 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790721876 | NPPES |
| Tennessee | Other | 3037713 | BLUECARE |
| Tennessee | MEDICAID | 3600330 | BLUECARE |
| Tennessee | Other | 100021676 | BLUECARE |
| Tennessee | Other | 430009899 | BLUECARE |
| Tennessee | MEDICAID | 1502526 | BLUECARE |
| Tennessee | Other | 3037713 | BLUECARE |
| Tennessee | Other | 4173676 | BLUECARE |
| Tennessee | Other | 000000616087 | BLUECARE |
| Tennessee | Other | P00810612 | BLUECARE |
| Tennessee | Other | P00479791 | BLUECARE |
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