Patty Backer

Individual provider Active NPI Electroneurodiagnostic Specialist/Technologist · McAlester, OK

NPI 1366840753 · NPPES record last updated Dec 17, 2014

Key facts

NPI
1366840753
Entity type
Individual (NPI type 1)
Primary specialty
Electroneurodiagnostic Specialist/Technologist 246ZE0600X
Practice address
4 E Clark Bass Blvd Ste 205
McAlester, OK 74501-4285
Phone
(918) 421-8897
Fax
(918) 302-0825
NPI assigned
Dec 17, 2014
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Electroneurodiagnostic Specialist/Technologist 246ZE0600X Yes

Addresses

Primary practice location

4 E Clark Bass Blvd Ste 205
McAlester, OK 74501-4285

Mailing address

4 E Clark Bass Blvd Ste 205
McAlester, OK 74501-4285
Phone (918) 421-8897

Other providers in McAlester, OK

All providers in McAlester, OK · Electroneurodiagnostic Specialist/Technologist in Oklahoma

Sources for this page

Verify at the official NPI Registry.