Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. WAYNE BACKMAN, 2128-19
Active Sole ProprietorMR. WAYNE BACKMAN, 2128-19 is a Skilled Nursing Facility healthcare provider located in STOUGHTON, Wisconsin. NPI 1437561669 is currently active in the NPPES registry. Verify at CMS.
Skilled Nursing Facility · STOUGHTON, WI
Registration Details
- NPI Number
- 1437561669
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 22, 2014 (12.195803818788 yrs)
- Last Updated
- May 22, 2014
- License
-
2128-19 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
400 N MORRIS STSTOUGHTON, WI, 535891857Browse WI providers · Browse ZIP 53589
- Phone
- 6088735651
- Primary Specialty
-
Skilled Nursing Facility
314000000X
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.