Michael Backues, MSM, ATC, PA-C

Physician Assistant · Columbia, TN

Individual Active NPI

NPI number 1114900131

Practice location

1224 Trotwood Ave
Columbia, TN 38401-4802
Phone
(931) 381-1111

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NPI record

NPI
1114900131
Entity type
Individual (Type 1)
Enumeration date
November 23, 2005
Last updated
January 9, 2020
Certified
January 9, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X 2267 TN
Athletic Trainer 2255A2300X 627 TN

About Michael Backues

Michael Backues, MSM, ATC, PA-C is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 1224 Trotwood Ave, Columbia, TN 38401-4802. The NPI number 1114900131 was assigned on November 23, 2005 and the record was last updated on January 9, 2020.

Michael Backues lists 2 licenses in the registry: #2267 (TN) for Physician Assistant; #627 (TN) for Athletic Trainer. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Michael Backues, MSM, ATC, PA-C?

The NPI number is 1114900131.

What is the phone number of Michael Backues?

The phone number listed for the practice location is (931) 381-1111.

Where is Michael Backues located?

1224 Trotwood Ave, Columbia, TN 38401-4802.

What is the taxonomy code for Michael Backues?

The primary taxonomy code is 363A00000X – Physician Assistant; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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