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Contact Information

ANTHONY L BACK, MD
AMBULATORY CLINIC
825 EASTLAKE AVENUE EAST
SEATTLE, WA98109
 Phone: 206-288-1000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical Oncology

207RX0202X 11 Physician/Internal Medicine
 

Hospice and Palliative Medicine

207RH0002X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for ANTHONY L BACK · (Male)

NPI Number 1932285731
Status Active
Credentials MD
Entity Individual
Enumeration date 10/27/2006
Last updated 10/24/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • WA License # MD00022980
  • WA Medicaid 1932285731
  • Other 6409 INTERNAL ID-MOTOR VEHICLE ID
  • WA Other 0230777 L&I
Hospital affiliation(s) Not Available
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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