Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER BACKMAN, DO
Active Sole ProprietorJENNIFER BACKMAN, DO is a Family Medicine healthcare provider located in KELLOGG, Idaho. NPI 1306862388 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · KELLOGG, ID
Registration Details
- NPI Number
- 1306862388
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 14, 2006 (19.938247027329 yrs)
- Last Updated
- May 5, 2025
- Licenses
-
DO25595 (OR)O-1192 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
25 JACOBS GULCH RDKELLOGG, ID, 838372023Browse ID providers · Browse ZIP 83837
- Phone
- 2087841221
- Fax
- 2087840961
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in KELLOGG, ID
| Name | Credential | NPI |
|---|---|---|
| STEVEN J MALEK | MD | 1740273044 |
| MS. JOCELYN J KORASICK | MD | 1457346603 |
| THOMAS F HESTON | M.D. | 1861447245 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.