Backer, Thomas S

Backer, Thomas S is an individual health care provider with primary practice located at 3905 Brookside Pkwy Ste 202 , Alpharetta GA 30022-4425. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Backer, Thomas S can be contacted via phone (770) 751-9131.

Contact Information

Primary practice address
3905 Brookside Pkwy Ste 202 Alpharetta GA 30022-4425
Fax: (770) 751-9132
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 030711 Georgia
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 030711 Georgia

Profile Details

NPI number 1083617872
LBN Legal business name Backer, Thomas S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Feb 23rd, 2023 - about last year

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 1083617872 NPPES
Georgia Other 110033309 RAILROAD MEDICARE
Georgia Other 4216134 RAILROAD MEDICARE
Georgia Other TAX ID NUMBER RAILROAD MEDICARE
Georgia Other TAX ID NUMBER RAILROAD MEDICARE
Georgia Other 484268 RAILROAD MEDICARE

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