Individual
CARL RAY BACKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
555 S 18TH ST, COLUMBUS, OH 43205-2654
(614) 722-4950
(614) 722-4966
Mailing address
555 S 18TH ST, COLUMBUS, OH 43205-2654
(614) 722-4950
(614) 722-4966
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
34002237
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0263941
—
OH
05
—
64783160
—
KY
Enumeration date
01/10/2006
Last updated
07/25/2008
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