Shykera A Backus

Individual provider Active NPI Case Manager/Care Coordinator · Wilmington, DE

NPI 1629638010 · NPPES record last updated Jun 18, 2019

Key facts

NPI
1629638010
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
103A Rogers Rd
Wilmington, DE 19801-5767
Phone
(302) 268-9440
NPI assigned
Jun 18, 2019
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
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

103A Rogers Rd
Wilmington, DE 19801-5767

Mailing address

103A Rogers Rd
Wilmington, DE 19801-5767
Phone (302) 268-9440

Other providers in Wilmington, DE

All providers in Wilmington, DE · Case Manager/Care Coordinator in Delaware

Sources for this page

Verify at the official NPI Registry.