Mr. Wayne Backman, 2128-19
Mr. Wayne Backman, 2128-19 is a Skilled Nursing Facility in Stoughton, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.
- Licensed in
- WI
- In the registry since
- 2014
Practice location Address checks out
400 N Morris StStoughton, WI 53589-1857
Phone: (608) 873-5651
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Skilled Nursing Facility (primary) | Taxonomy 314000000X · Licence 2128-19 (WI) |
|---|
Record details
| NPI number | 1437561669 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | 2128-19 |
| Sole proprietor | Yes |
| NPI enumerated | May 22, 2014 |
| Last updated in NPPES | May 22, 2014 |
| Mailing address | 400 N Morris St, Stoughton, WI 53589-1857 |
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