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Backroad Health Care Inc
Family Nurse Practitioner in Centralia, Illinois
NPI 1134582018

Backroad Health Care Inc is a Family Nurse Practitioner based in Centralia, IL and is specialized in Family. Backroad Health Care Inc practices in Centralia, IL. The NPI Number for Backroad Health Care Inc is 1134582018 and holds a License No. (Illinois).

The current practice location address for Backroad Health Care Inc is 211 S Perrine Ave, Centralia, IL and can be reached out via phone at 618-419-0011 and via fax at 888-980-2931.

Location: 211 S Perrine Ave, Centralia, IL, 62801-0848
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1134582018
Provider Name
Backroad Health Care Inc
Credential
Provider Entity Type
Organization
Address
211 S Perrine Ave, Centralia, IL, 62801-0848
Phone Number
618-419-0011
Fax Number
888-980-2931
Provider Enumeration Date
03/30/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
211 S Perrine Ave
City
Centralia
State
Illinois
Zip
62801-3635
Phone Number
618-419-0011
Fax Number
888-980-2931
person
Provider Business Mailing Address Details
Address
211 S Perrine Ave
City
Centralia
State
Illinois
Zip
62801-3635
Phone Number
618-419-0011
Fax Number
888-980-2931
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
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Definition
Definition to come...
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