Anania Backstrom, Cecilia

Anania Backstrom, Cecilia is an individual health care provider with primary practice located at 6901 N 72Nd St Suite 2244, Omaha NE 68122-1709. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Anania Backstrom, Cecilia can be contacted via phone (402) 572-3535.

Contact Information

Primary practice address
6901 N 72Nd St Suite 2244 Omaha NE 68122-1709
Phone: (402) 572-3535
Fax: (402) 572-2688
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 15-00317 Kansas
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1294 Nebraska
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1875 Iowa

Profile Details

NPI number 1366424863
LBN Legal business name Anania Backstrom, Cecilia
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2005
Last updated Jul 10th, 2013 - about 12 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 1366424863 NPPES
Kansas MEDICAID 100342400A

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