Provider Demographics
NPI:1760647416
Name:BACKARIC, AUBREY EUGENA (DC)
Entity Type:Individual
Prefix:MRS
First Name:AUBREY
Middle Name:EUGENA
Last Name:BACKARIC
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:474 N OXFORD LN
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85225-4820
Mailing Address - Country:US
Mailing Address - Phone:480-822-8456
Mailing Address - Fax:866-727-9116
Practice Address - Street 1:312 W 10TH ST
Practice Address - Street 2:STE 2
Practice Address - City:CASA GRANDE
Practice Address - State:AZ
Practice Address - Zip Code:85122-3940
Practice Address - Country:US
Practice Address - Phone:520-222-7385
Practice Address - Fax:866-727-9116
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-22
Last Update Date:2023-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7950111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor