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NPI Code Detail

MEDICARE: SAMUEL MAX BACKER

MEDICARE: SAMUEL MAX BACKER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1326927104
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMUEL MAX BACKER
Provider Business Mailing Address
First Line : 1901 N GRANT ST APT 1226
Second Line :
City : DENVER
State : CO
Zip : 80203-1591
Country : US
Telephone Number : 925-300-6320
Fax Number :
Provider Business Practice Location Address
First Line : 1600 BROADWAY STE 1600
Second Line :
City : DENVER
State : CO
Zip : 80202-4916
Country : US
Telephone Number : 303-529-4602
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/27/2025
Last Update Date : 08/27/2025

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Directions to “ SAMUEL MAX BACKER ” Practice Location

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