Kauffman, Jeffrey

Kauffman, Jeffrey is an individual health care provider with primary practice located at 330 Lakeview Dr , Goshen IN 46528-9365. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Nursing Service Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Kauffman, Jeffrey can be contacted via phone (574) 533-1234.

Contact Information

Primary practice address
330 Lakeview Dr Goshen IN 46528-9365
Phone: (574) 533-1234
Fax: (574) 537-2652
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71000660A Indiana
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 28107948A Indiana

Profile Details

NPI number 1235161282
LBN Legal business name Kauffman, Jeffrey
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Aug 24th, 2011 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235161282 NPPES
Indiana MEDICAID 200233490
Indiana Other 000000532950
Indiana Other 500030615

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