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Dominique Backus
NPI 1689817546 · on the registry since 2009 · sole proprietor
Practice
- Address
- 3507 Old Montgomery Hwy
Birmingham, AL 35209 - Phone
- (205) 879-0557
- Organisation at this address
- Dominique Backus Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 1223X0400X
1223X0400X
- Licence states on file
- AL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2009-04-08
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 Alabama