Search › Wisconsin › 164W00000X
Shawn Backus, LPN
NPI 1184064511 · on the registry since 2013 · sole proprietor
Practice
- Address
- 2221 S Webster Ave Ste A160
Green Bay, WI 54301 - Phone
- (920) 544-3747
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-06-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin