Backer, Matthew

Backer, Matthew is an individual health care provider with primary practice located at 2320 Bath St Ste 208 , Santa Barbara CA 93105-5322. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Backer, Matthew can be contacted via phone (805) 569-2964.

Contact Information

Primary practice address
2320 Bath St Ste 208 Santa Barbara CA 93105-5322
Phone: (805) 569-2964
Fax: (805) 569-2064
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 56873 Wisconsin
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X A125819 California

Profile Details

NPI number 1669653861
LBN Legal business name Backer, Matthew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2007
Last updated Dec 30th, 2013 - about 11 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 1669653861 NPPES
California Other 00A1258190 BS OF CA
California MEDICAID 1669653861 BS OF CA

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