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DR. IVAN ARNOLD BACKERMAN MD
>> Obstetrics & Gynecology >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1326199399
Individual Registrant:DR. IVAN ARNOLD BACKERMAN MD
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
556 GULF SHORE DRIVE HC 63 BOX 5006 DOG ISLAND CARRABELLE, FL 32322-9719 US
Tel: 850-697-4702 Fax: 850-697-4798
Tel: 850-697-4702 Fax: 850-697-4798
Contact information for business:
HC63 BOX 5006 DOG ISLAND 556 GULF SHORE DRIVE CARRABELLE, FL 32322-9719 US
Tel: 850-697-4702 Fax: 850-697-4798
Tel: 850-697-4702 Fax: 850-697-4798
Registration Information:
NPI: 1326199399
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 207V00000X | Allopathic & Osteopathic Physicians Obstetrics & Gynecology | FL | LL420 |
| Y | 207V00000X | Allopathic & Osteopathic Physicians Obstetrics & Gynecology | FL | ME104820 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
