Backer, Thomas S
Backer, Thomas S is an individual health care provider with primary practice located at 3905 Brookside Pkwy Ste 202 , Alpharetta GA 30022-4425. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Backer, Thomas S can be contacted via phone (770) 751-9131.Contact Information
Primary practice address
3905 Brookside Pkwy Ste 202
Alpharetta GA 30022-4425
Phone: (770) 751-9131
Fax: (770) 751-9132
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 030711 | Georgia |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 030711 | Georgia |
Profile Details
| NPI number | 1083617872 |
|---|---|
| LBN Legal business name | Backer, Thomas S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2005 |
| Last updated | Feb 23rd, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083617872 | NPPES |
| Georgia | Other | 110033309 | RAILROAD MEDICARE |
| Georgia | Other | 4216134 | RAILROAD MEDICARE |
| Georgia | Other | TAX ID NUMBER | RAILROAD MEDICARE |
| Georgia | Other | TAX ID NUMBER | RAILROAD MEDICARE |
| Georgia | Other | 484268 | RAILROAD MEDICARE |
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