Backus, Trisha Ann

Backus, Trisha Ann is an sole proprietor health care provider with primary practice located at 1118 Division St , Green Bay WI 54303-3002. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Backus, Trisha Ann can be contacted via phone (920) 884-9981.

Contact Information

Primary practice address
1118 Division St Green Bay WI 54303-3002
Phone: (920) 884-9981
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 149463030 Wisconsin

Profile Details

NPI number 1316133960
LBN Legal business name Backus, Trisha Ann
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 18th, 2007
Last updated Apr 9th, 2010 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316133960 NPPES
Wisconsin MEDICAID 35033000

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