Backes, Carl Ray
Backes, Carl Ray is an individual health care provider with primary practice located at 555 S 18Th St , Columbus OH 43205-2654. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. Backes, Carl Ray can be contacted via phone (614) 722-4950.Contact Information
Primary practice address
555 S 18Th St
Columbus OH 43205-2654
Phone: (614) 722-4950
Fax: (614) 722-4966
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | 34002237 | Ohio |
Profile Details
| NPI number | 1083693998 |
|---|---|
| LBN Legal business name | Backes, Carl Ray |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 10th, 2006 |
| Last updated | Jul 25th, 2008 - about 18 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 | 1083693998 | NPPES |
| Ohio | MEDICAID | 0263941 | |
| Ohio | MEDICAID | 64783160 |
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