| NPI | 1700962040 |
|---|---|
| Other Name | BACKUS HEALTH CENTERS |
| Entity Type | Organization |
| Authorized Contact | DANIEL LOHR Vice President 860-889-8331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| 207Q00000X Family Medicine | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-10-30 |
| Last Update Date | 2012-07-19 |