Backer, Elliot Daniel
Backer, Elliot Daniel is an individual health care provider with primary practice located at 6425 Nicollet Ave Ste 202 , Richfield MN 55423-1668. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Backer, Elliot Daniel can be contacted via phone (612) 869-2086.Contact Information
Primary practice address
6425 Nicollet Ave Ste 202
Richfield MN 55423-1668
Phone: (612) 869-2086
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 12466 | Minnesota |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 12466 | Minnesota |
Profile Details
NPI number | 1689104986 |
---|---|
LBN Legal business name | Backer, Elliot Daniel |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 19th, 2017 |
Last updated | Mar 1st, 2024 - about 8 months 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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