MR. Shawn B Backus, LPN

NPI #1184064511 in Green Bay, Wisconsin

Provider Information

NPI Number
1184064511
Entity Type
Individual
Name
MR. Shawn B Backus, LPN
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Credential
LPN
Enumeration Date
Jun 30, 2013
Last Updated
Jun 30, 2013

Practice Location

Address
2221 S WEBSTER AVE STE A160
ZIP Code
54301-2158
Phone
(920) 544-3747

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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