Organization
JOSEPH T BACKE MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH THOMAS BACKE MD (SOLE OWNER)
(256) 350-2875
Entity
Organization
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
01
—
00243
BCBS
AL
Enumeration date
02/27/2007
Last updated
08/22/2020
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