| Doctor Name: | BARBARA J BACKUS |
| NPI Number: | 1013023597 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | N.P. |
| License Number: | 87844 |
| Business Practice Address: | 1650 S 41st St Manitowoc, WI - 542207316 |
| Business Phone Number: | 9203204500 |
| Business Fax Number: | 9206829378 |
| Mailing Address: | Po Box 2290, MANITOWOC |
| State: | WI |
| Postal Code: | 542212290 |
| Phone Number: | 9203204500 |
| Fax Number: | 9206829378 |
| NPI Enumeration Date: | 08/21/2006 |
| NPI Last Update Date: | 10/17/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 87844 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |