Mathias Gabriel Backus, DC | |
242 W Main St Ste 101, Rochester, NY 14614-1144 | |
(585) 413-1965 | |
(585) 563-7475 |
Full Name | Mathias Gabriel Backus |
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Gender | Male |
Speciality | Chiropractor |
Location | 242 W Main St Ste 101, Rochester, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427763325 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 013677 (New York) | Primary |
Provider Name | Boev Medical Pllc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1881052546 PECOS PAC ID: 9436447463 Enrollment ID: O20161007000010 |
Mailing Address | Practice Location Address |
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Mathias Gabriel Backus, DC 242 W Main St Ste 101, Rochester, NY 14614-1144 Ph: (585) 413-1965 | Mathias Gabriel Backus, DC 242 W Main St Ste 101, Rochester, NY 14614-1144 Ph: (585) 413-1965 |
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