Doctor Name: | DR. IVAN ARNOLD BACKERMAN |
NPI Number: | 1326199399 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | LL420 |
Business Practice Address: | 139 12th St Apalachicola, FL - 323202110 |
Business Phone Number: | 8506532111 |
Business Fax Number: | 8506532160 |
Mailing Address: | Hc63 Box 5006 Dog Island, 100 Gulfshore Drive CARRABELLE |
State: | FL |
Postal Code: | 323229719 |
Phone Number: | 8506974702 |
Fax Number: | 8506974798 |
NPI Enumeration Date: | 01/16/2007 |
NPI Last Update Date: | 01/14/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | LL420 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |