NPI 1174782767 · live from the CMS NPI Registry
Backus Physician Services, LLC
Specialist in Norwich, CT. National Provider Identifier 1174782767, active.
NPI record
| NPI | 1174782767 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Specialist 174400000X |
| Practice location | 12 Case St, Suite 313, Norwich, CT 06360 |
| Practice phone | 860-204-9126 |
| Mailing address | 112 Lafayette St, Norwich, CT 06360 |
| Enumerated | June 9, 2008 |
| Last updated | October 4, 2012 |
| Authorized official | Daniel Lohr, Vice President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | — |
| Colon & Rectal Surgery | 208C00000X | — |
| Surgery | 208600000X | — |
| Pediatrics | 208000000X | — |
| Internal Medicine | 207R00000X | — |
| Plastic Surgery | 208200000X | — |
| Plastic Surgery, Surgery of the Hand | 2082S0105X | — |
| Family Medicine | 207Q00000X | — |
| Specialist primary | 174400000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.