Backman, Kenneth Scott
Backman, Kenneth Scott is an sole proprietor health care provider with primary practice located at 55 Walls Dr Ste. 405, Fairfield CT 06824-5163. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as his primary health care specialty. Backman, Kenneth Scott can be contacted via phone (203) 259-7070.Contact Information
Primary practice address
55 Walls Dr Ste. 405
Fairfield CT 06824-5163
Phone: (203) 259-7070
Fax: (203) 254-7402
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | 038854 | Connecticut |
Profile Details
| NPI number | 1174595847 |
|---|---|
| LBN Legal business name | Backman, Kenneth Scott |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 6th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1174595847 | NPPES |
| Connecticut | Other | 010038854CT02 | BLUE CROSS/BLUE SHIELD |
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