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Contact Information

MARY BACKES
403 SUMMIT BLVD STE 204B
BROOMFIELD, CO80021-8252
 Phone: 720-401-2139
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for MARY BACKES · (Female)

NPI Number 1922869296
Status Active
Credentials
Entity Individual
Enumeration date 01/23/2024
Last updated 01/23/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • CO License # 0001251
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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