Backman, John Randolph

Backman, John Randolph is an individual health care provider with primary practice located at 320 Santa Fe Dr Suite 204, Encinitas CA 92024-5138. 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. Backman, John Randolph can be contacted via phone (760) 944-7300.

Contact Information

Primary practice address
320 Santa Fe Dr Suite 204 Encinitas CA 92024-5138
Phone: (760) 944-7300
Fax: (760) 633-3949
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X G29156 California
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X G29156 California

Profile Details

NPI number 1215905831
LBN Legal business name Backman, John Randolph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Sep 13th, 2016 - about 9 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 1215905831 NPPES
California Other 00G291560 MEDI-CAL NUMBER

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