Justin Van Backer
Surgery in New Britain, Connecticut
1396139762- Practice location
- 100 Grand St Dept Of, New Britain, CT 06052-2016
- Phone
- 860-696-4923
- Fax
- —
- Last updated
- July 22, 2022
Justin Van Backer is a Surgery based in New Britain, CT. Justin Van Backer practices in New Britain, CT. The NPI Number for Justin Van Backer is 1396139762 and holds a License No. 70670 (CT). The current practice location address for Justin Van Backer is 100 Grand St Dept Of, New Britain, CT 06052-2016 and can be reached out via phone at 860-696-4923.
Provider Profile Details
- NPI Number
- 1396139762
- Provider Name
- Justin Van Backer
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 100 Grand St Dept Of, New Britain, CT 06052-2016
- Phone Number
- 860-696-4923
- Primary Taxonomy
- Surgery · 208600000X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 24, 2015
- Last Update Date
- July 22, 2022
- Certification Date
- July 22, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 100 Grand St Dept Of
New Britain, CT 06052-2016 - City
- New Britain
- State
- Connecticut
- Zip
- 06052-2016
- Phone Number
- 860-696-4923
Provider Business Mailing Address Details
- Address
- 1290 Silas Deane Hwy
Wethersfield, CT 06109-4337 - City
- Wethersfield
- State
- CT
- Zip
- 06109-4337
- Phone Number
- 860-972-9093
License Information
- License Number
- 70670
- License State
- CT
- Taxonomy
- Surgery · 208600000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Justin Van Backer?
The NPI number of Justin Van Backer is 1396139762. It was assigned on March 24, 2015 and is currently active in the NPPES registry.
What is the specialty of Justin Van Backer?
Justin Van Backer is registered under the primary taxonomy Surgery (code 208600000X), licensed in CT under license number 70670.
Where does Justin Van Backer practice?
The practice location is 100 Grand St Dept Of, New Britain, CT 06052-2016. The office can be reached at 860-696-4923 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1396139762 directly on the NPPES registry website.