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Contact Information

HENRY A BACKE, MD
305 BLACK ROCK TPKE
FAIRFIELD, CT06825-5508
 Phone: 203-337-2600
 Fax: 203-337-2622
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hand Surgery

207XS0106X 02 Physician/General Surgery
 

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for HENRY A BACKE · (Male)

NPI Number 1457396145
Status Active
Credentials MD
Entity Individual
Enumeration date 06/18/2006
Last updated 03/27/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 032983
  • CT Medicaid 001329839
  • Other TIN CIGNA
  • Other TIN CORVEL
  • Other TIN FIRST HEALTH
  • Other TIN GREAT WEST
  • Other TIN NATIONAL PROVIDER NETWORK
  • Other TIN NEHCA HMC / PPO
  • Other TIN NORTHEAST HELATH DIRECT
  • Other TIN ORTHONET
  • Other TIN PIONEER
  • Other TIN POMCO
  • Other TIN UNITED HEALTHCARE
  • CT Other 2065202 AETNA
  • CT Other 010031715CT01 ANTHEM BC/BS
  • CT Other 760105 CONNECTICARE
  • CT Other 26K532 EMPIRE BC/BS
  • CT Other 0V1246 HEALTH NET
  • CT Other ZS325 OXFORD HEALTH PLANS
Hospital affiliation(s)
  • BRIDGEPORT HOSPITAL - (Acute Care)
    267 GRANT STREET
    BRIDGEPORT, CT 06610
  • ST VINCENT'S MEDICAL CENTER - (Acute Care)
    2800 MAIN ST
    BRIDGEPORT, CT 06606
  • YALE-NEW HAVEN HOSPITAL - (Acute Care)
    20 YORK ST
    NEW HAVEN, CT 06504
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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