Backstrom, Ian Charles

Backstrom, Ian Charles is an individual health care provider with primary practice located at 3601 The Vanderbilt Clinic , Nashville TN 37232-5864. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Backstrom, Ian Charles can be contacted via phone (615) 322-5000.

Contact Information

Primary practice address
3601 The Vanderbilt Clinic Nashville TN 37232-5864
Phone: (615) 322-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X ME122968 Florida
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X TRN17723 Florida
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 71282 Tennessee

Profile Details

NPI number 1730443508
LBN Legal business name Backstrom, Ian Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2012
Last updated Jul 18th, 2024 - about 5 months 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 1730443508 NPPES
Florida MEDICAID 014964700

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