Healthcare Provider Details

I. General information

NPI: 1831365899
Provider Name (Legal Business Name): BACKBEAT INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2008
Last Update Date: 04/30/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

877 BEACON ST
BOSTON MA
02215-3801
US

IV. Provider business mailing address

877 BEACON ST
BOSTON MA
02215-3801
US

V. Phone/Fax

Practice location:
  • Phone: 617-424-1313
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code302R00000X
TaxonomyHealth Maintenance Organization
License Number
License Number State

VIII. Authorized Official

Name: JOANNE ATKINSON
Title or Position: OWNER
Credential:
Phone: 617-424-1313