Individual
EMILY A BACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
408 E SOUTHWAY BLVD, KOKOMO, IN 46902-3814
(765) 865-3300
(765) 865-3306
Mailing address
6626 E. 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01045272
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200196050
—
IN
01
—
P01270963
RR MEDICARE
IN
Enumeration date
01/27/2006
Last updated
11/27/2023
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