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Contact Information

PATRICIA A BACK, MD
30 E APPLE ST
STE 6250
DAYTON, OH45409-2939
 Phone: 937-208-8394
 Fax: 937-208-8388
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Hospitalist

208M00000X
Indicates primary specialty

NPI Profile & details for PATRICIA A BACK · (Female)

NPI # 1932351483
Status Active
Credentials MD
Entity Individual
Enumeration date 10/15/2008
Last updated 02/27/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 51286
  • NY License # 250483-1
  • OH License # 35-092581
  • TX License # BP10024926
  • OH Medicaid 2966278
Hospital affiliation(s)
  • JEWISH HOSPITAL LLC - (Acute Care)
    4777 EAST GALBRAITH ROAD
    CINCINNATI, OH 45236
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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