Charles L Backus in Johnson City - Addiction Medicine
Charles L Backus - NPI 1801856414
Charles L Backus is a Addiction Medicine in Johnson City, Tennessee. Charles L Backus practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Charles L Backus is 1801856414. The last update date is 2023-09-20.
Charles L Backus's current location address is 2514 Wesley St, Johnson City, Tennessee. You can contact this provider via phone number 4238335547 and fax number 4232320238. The mailing address for Charles L Backus is 2514 Wesley St, Johnson City, Tennessee. To know further, please read the information below!
Provider Profile Detail
Provider Name | Charles L Backus |
---|---|
Address | 2514 Wesley St, Johnson City, Tennessee |
Phone Number | 4238335547 |
Fax Number | 4232320238 |
Sole Proprietor | N |
Credentials | DO |
NPI Number Detail
NPI Number | 1801856414 |
---|---|
Provider Enumeration Date | 2006-03-27 |
Last Updated Date | 2023-09-20 |
Provider Mailing Address Detail
Address | 2514 Wesley St |
---|---|
City | Johnson City |
State | Tennessee (TN) |
Post Code | 376011764 |
Phone Number | 4238335547 |
Fax Number | 4232320238 |
Provider's Primary Taxonomy Detail
Speciality | Addiction Medicine |
---|---|
Taxonomy | 2083A0300X |
Licence No | 1551 |
Definition: A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
3300057 | TN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Charles L Backus by the Centers for Medicare & Medicaid Services (CMS)?
The Charles L Backus has been assigned the NPI (National Provider Identifier) 1801856414. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Charles L Backus?
The Charles L Backus is physically situated at 2514 Wesley St, in the city of Johnson City, state of TN, with the postal code 376011764.
What is the Charles L Backus's area of specialization and corresponding taxonomy classification?
The Charles L Backus's specialty field is Addiction Medicine, and it falls under the taxonomy code 2083A0300X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1801856414 to Charles L Backus?
The Centers for Medicare & Medicaid Services originally issued the 1801856414 to Charles L Backus on 2006-03-27.
When was the Charles L Backus's information last updated?
The Charles L Backus's information was last updated on 2023-09-20.