Kenneth Scott Backman in Fairfield - Allergy & Immunology

Kenneth Scott Backman - NPI 1174595847

Kenneth Scott Backman is a Allergy & Immunology in Fairfield, Connecticut. Kenneth Scott Backman practices all healthcare services and medical treatments related to Allergy & Immunology. The NPI Number for Kenneth Scott Backman is 1174595847. The last update date is 2007-07-08.

Kenneth Scott Backman's current location address is 55 Walls Dr, Fairfield, Connecticut. You can contact this provider via phone number 2032597070 and fax number 2032547402. The mailing address for Kenneth Scott Backman is 55 Walls Dr, Fairfield, Connecticut. To know further, please read the information below!

Provider Profile Detail

Provider Name Kenneth Scott Backman
Address 55 Walls Dr, Fairfield, Connecticut
Phone Number 2032597070
Fax Number 2032547402
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1174595847
Provider Enumeration Date 2006-02-06
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 55 Walls Dr
City Fairfield
State Connecticut (CT)
Post Code 68245163
Phone Number 2032597070
Fax Number 2032547402

Provider's Primary Taxonomy Detail

Speciality Allergy & Immunology
Taxonomy 207K00000X
Licence No 38854
Definition:
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
010038854CT02 CT BLUE CROSS/BLUE SHIELD

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FAQs about Kenneth Scott Backman

What is the unique 10-digit identification code assigned to Kenneth Scott Backman by the Centers for Medicare & Medicaid Services?

The Kenneth Scott Backman has been issued the NPI (National Provider Identifier) 1174595847, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Kenneth Scott Backman is physically located?

The Kenneth Scott Backman is situated at the following address: 55 Walls Dr, Fairfield, CT 68245163.

What is Kenneth Scott Backman's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Kenneth Scott Backman's specialized field of practice is Allergy & Immunology, and the corresponding taxonomy code that categorizes this area of specialization is 207K00000X.

On what date did the Kenneth Scott Backman receive the assignment of its 1174595847 from the Centers for Medicare & Medicaid Services?

The Kenneth Scott Backman was issued its 1174595847 by the Centers for Medicare & Medicaid Services on 2006-02-06.

As of what date were the details pertaining to Kenneth Scott Backman last refreshed?

The information related to the Kenneth Scott Backman, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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