Doctor Name: | DR. CELSO LUIZ BACKES |
NPI Number: | 1427123058 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | MD035343L |
Business Practice Address: | 1001 E 2nd St Coudersport, PA - 169158161 |
Business Phone Number: | 8142747101 |
Business Fax Number: | 8142743251 |
Mailing Address: | 1001 East Second Street, COUDERSPORT |
State: | PA |
Postal Code: | 16915 |
Phone Number: | 8142747101 |
Fax Number: | 8142743251 |
NPI Enumeration Date: | 11/21/2006 |
NPI Last Update Date: | 12/01/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | MD035343L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
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. |