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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TAMMY RENEE BACKEN, MEDICAL ASSISTANT

Active Sole Proprietor

TAMMY RENEE BACKEN, MEDICAL ASSISTANT is a Clinic/Center healthcare provider located in MARTINSVILLE, Indiana. NPI 1497451314 is currently active in the NPPES registry. Verify at CMS.

Clinic/Center · MARTINSVILLE, IN

Registration Details

NPI Number
1497451314
Provider Type
Individual
Gender
Female
NPI Issued
Feb 2, 2023 (3.3399624965308 yrs)
Last Updated
Feb 6, 2023
Licenses
E5Z6Y6E3 (IN)
E5Z6Y6E3 (IN)
Sole Proprietor
Yes

Practice Information

Address
510 GRAND VALLEY BLVD
MARTINSVILLE, IN, 461515883
Browse IN providers · Browse ZIP 46151
Phone
7655166292
Fax
7653497688
Primary Specialty
Clinic/Center
261Q00000X
Additional Specialty
Clinic/Center
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.