Individual
DR. JOSEPH THOMAS BACKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1203 MEDICAL DR SE, DECATUR, AL 35601
(256) 350-2875
(256) 350-6228
Mailing address
1203 MEDICAL DR SE, DECATUR, AL 35601
(256) 350-2875
(256) 350-6228
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
8261
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000243
—
AL
01
—
00243
BCBS
AL
Enumeration date
04/27/2006
Last updated
07/08/2007
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