Backus, Katerina Angelique

Backus, Katerina Angelique is an individual health care provider with primary practice located at 2501 N Orange Ave Unit 514, Orlando FL 32804-4603. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is her primary health care specialty. Backus, Katerina Angelique can be contacted via phone (407) 303-5687.

Contact Information

Primary practice address
2501 N Orange Ave Unit 514 Orlando FL 32804-4603
Phone: (407) 303-5687
Fax: (407) 303-0806
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME98967 Florida
Allopathic & Osteopathic Physicians / Sports Medicine 2080S0010X ME98967 Florida

Profile Details

NPI number 1326239872
LBN Legal business name Backus, Katerina Angelique
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2007
Last updated Dec 4th, 2020 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326239872 NPPES
Florida MEDICAID 279148000

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