Individual
DR. ROBERT J BACKER
Active
Individual
DR. ROBERT J BACKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MDR3D60
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0600013
UNITED HEALTHCARE
MO
01
—
132437
HEALTHLINK
MO
01
—
140005147
MEDICARE RAILROAD
MO
01
—
261839808
TAX ID
—
01
—
431725782
TAX ID #
MO
01
—
43755
GROUP HEALTH PLAN
MO
01
—
5810
BLUE CROSS BLUE SHIELD
MO
01
—
O06214
EXCLUSIVE CHOICE
MO
Enumeration date
05/23/2005
Last updated
02/10/2011
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