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Contact Information

JORDAN BACKSTROM
215 HIGHWAY 2 SW STUITE 103
RUGBY, ND58368
 Phone: 701-351-0775
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for JORDAN BACKSTROM · (Male)

NPI Number 1376958009
Status Active
Credentials
Entity Individual
Enumeration date 06/20/2014
Last updated 09/10/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • ND License # 1755
  • ND Medicaid 1987654321
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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