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Contact Information

MILES BACKSTROM
2690 HIGHWAY 145
SALTILLO, MS38866-6941
 Phone: 662-869-2100
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for MILES BACKSTROM · (Male)

NPI # 1740768332
Status Active
Credentials
Entity Individual
Enumeration date 08/06/2018
Last updated 02/21/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • MS License # 3990-18
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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