Backer, Ronald M
Backer, Ronald M is an sole proprietor health care provider with primary practice located at 100 Market Sq Suite #6, Newington CT 06111-2921. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Backer, Ronald M can be contacted via phone (860) 667-1153.Contact Information
Primary practice address
100 Market Sq Suite #6
Newington CT 06111-2921
Phone: (860) 667-1153
Fax: (860) 436-4083
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 001361 | Connecticut |
| Behavioral Health & Social Service Providers / School | 103TS0200X | Connecticut |
Profile Details
| NPI number | 1912063330 |
|---|---|
| LBN Legal business name | Backer, Ronald M |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 29th, 2006 |
| Last updated | Jul 26th, 2007 - about 18 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 | 1912063330 | NPPES |
| Connecticut | Other | 240001361CT07 | ANTHEM |
| Connecticut | Other | 334960 | ANTHEM |
| Connecticut | Other | BACKE-0010 | ANTHEM |
| Connecticut | Other | 7782664 | ANTHEM |
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