Kauffman, Edward Charles
Kauffman, Edward Charles is an individual health care provider with primary practice located at 1490 N Turquoise Dr , Flagstaff AZ 86001. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Kauffman, Edward Charles can be contacted via phone (928) 774-5074.Contact Information
Primary practice address
1490 N Turquoise Dr
Flagstaff AZ 86001
Phone: (928) 774-5074
Fax: (928) 779-0884
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 33121 | Arizona |
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | 33121 | Arizona |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | 33121 | Arizona |
Profile Details
| NPI number | 1790799450 |
|---|---|
| LBN Legal business name | Kauffman, Edward Charles |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 28th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790799450 | NPPES |
| Arizona | MEDICAID | 89184N |
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