| S M Backus Llc | |
|
2415 Parview Rd Ste 1 Middleton WI 53562-2554 | |
| (608) 409-3400 | |
| Not Available |
| Full Name | S M Backus Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2415 Parview Rd Ste 1, Middleton, Wisconsin |
| Authorized Official Name and Position | Shadow-lyte Jasmin (OWNER) |
| Authorized Official Contact | 6084093400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| S M Backus Llc 1950 Foggy Mountain Pass Waunakee WI 53597-2383 Ph: (608) 409-3400 | S M Backus Llc 2415 Parview Rd Ste 1 Middleton WI 53562-2554 Ph: (608) 409-3400 |
| NPI Number | 1023987211 |
|---|---|
| Provider Enumeration Date | 11/04/2025 |
| Last Update Date | 11/04/2025 |
| Certification Date | 11/04/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023987211 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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