Individual provider · Type 1 NPI
Tammy Renee Backen, MEDICAL ASSISTANT
Clinic/Center · Martinsville, IN
Practice location
510 Grand Valley Blvd
Martinsville, IN 46151-5883
Fax (765) 349-7688
Mailing address
1027 S Basswood Cir
Bloomington, IN 47403-5842
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | E5Z6Y6E3 (IN) |
| Clinic/Center Primary | 261Q00000X | E5Z6Y6E3 (IN) |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
6 other providers at this address
- Pinnacle Treatment Centers In-Ii, LLCMethadone Clinic Martinsville, IN NPI 1447922760
- Deborah Bainbridge, BA, ACITII, MATSCounselor Martinsville, IN NPI 1275239824
- Kenisha Renee Peden, LCSWSocial Worker Martinsville, IN NPI 1033825831
- Logan CookGeneral Practice Physician Martinsville, IN NPI 1285335570
- Michelle LewisCounselor Martinsville, IN NPI 1114623535
- Paula Jean GraberLicensed Practical Nurse Martinsville, IN NPI 1912608209
About NPI 1497451314
Tammy Renee Backen, MEDICAL ASSISTANT's National Provider Identifier is 1497451314, issued on Feb 2, 2023. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Martinsville, IN. The record was last updated on Feb 6, 2023.