Back, Patricia Ann
Back, Patricia Ann is an individual health care provider with primary practice located at 30 E Apple St Ste 6250, Dayton OH 45409-2939. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Back, Patricia Ann can be contacted via phone (937) 208-8394.Contact Information
Primary practice address
30 E Apple St Ste 6250
Dayton OH 45409-2939
Phone: (937) 208-8394
Fax: (937) 208-8388
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | BP10024926 | Texas |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 250483-1 | New York |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 51286 | Kentucky |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 35-092581 | Ohio |
Profile Details
| NPI number | 1932351483 |
|---|---|
| LBN Legal business name | Back, Patricia Ann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 15th, 2008 |
| Last updated | Feb 27th, 2019 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932351483 | NPPES |
| Ohio | MEDICAID | 2966278 |
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