Backstedt, David
Backstedt, David is an individual health care provider with primary practice located at 409 N University Ave , Little Rock AR 72205-3108. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Backstedt, David can be contacted via phone (501) 664-6980.Contact Information
Primary practice address
409 N University Ave
Little Rock AR 72205-3108
Phone: (501) 664-6980
Fax: (501) 664-4738
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | E-10719 | Arkansas |
Profile Details
| NPI number | 1245587203 |
|---|---|
| LBN Legal business name | Backstedt, David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2012 |
| Last updated | Nov 15th, 2017 - about 8 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 | 1245587203 | NPPES |
| Arkansas | MEDICAID | 220935001 |
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