Backer, Carl Lewis
Backer, Carl Lewis is an individual health care provider with primary practice located at Uk Healthcare 740 S Limestone Suite A301 , Lexington KY 40536-2991. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Backer, Carl Lewis can be contacted via phone (859) 323-6494.Contact Information
Primary practice address
Uk Healthcare 740 S Limestone Suite A301
Lexington KY 40536-2991
Phone: (859) 323-6494
Fax: (859) 257-4682
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 35.139651 | Ohio |
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | TP117 | Kentucky |
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 53982 | Kentucky |
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 036064156 | Illinois |
Profile Details
NPI number | 1760477608 |
---|---|
LBN Legal business name | Backer, Carl Lewis |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 16th, 2005 |
Last updated | Aug 31st, 2020 - about 5 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 | 1760477608 | NPPES |
Illinois | MEDICAID | 036064156 | |
Illinois | MEDICAID | 05825879 | |
Illinois | Other | 1627123 | |
Illinois | Other | 363283051 | |
Illinois | MEDICAID | 6435508 |
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