What is Willie Backstrom's NPI number?

Willie Backstrom's National Provider Identifier (NPI) is 1194507780, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Willie Backstrom's specialty?

Willie Backstrom is listed in the NPPES registry with a primary specialty of Community Health Worker (Other Service Providers).

Where is Willie Backstrom located?

Willie Backstrom's practice location on file with NPPES is 1330 Kenneth St, Burton, MI 48529-2206.

What is Willie Backstrom's phone number?

The practice phone number listed in the NPPES registry for Willie Backstrom is (810) 744-2506.

Is Willie Backstrom's NPI active?

Yes — Willie Backstrom's NPI (1194507780) is active in the NPPES registry as of the last update on 2023-10-18.

IndividualActive

Willie Backstrom

NPI 1194507780 · Community Health Worker · Burton, MI

Willie Backstrom is a Community Health Worker provider in Burton, MI (NPI 1194507780).

Provider details

NPI number: 1194507780
Entity type: Individual
Primary specialty: Community Health WorkerOther Service Providers
Sex: Male
Sole proprietor: No

Specialties & taxonomies

Community Health WorkerPrimary172V00000X
Other Service Providers

Profile Score

Established profile(51/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
2 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

1330 Kenneth St

Burton, MI 48529-2206

Phone: (810) 744-2506

Street-level locationGet directions

More MI providers

Mailing address