Kaufman, Agnes C.

Kaufman, Agnes C. is an individual health care provider with primary practice located at 125 Blue Heron Dr Suite B, Montgomery TX 77316-3183. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Kaufman, Agnes C. can be contacted via phone (936) 582-0404.

Contact Information

Primary practice address
125 Blue Heron Dr Suite B Montgomery TX 77316-3183
Phone: (936) 582-0404
Fax: (936) 582-0410
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 12577 Texas

Profile Details

NPI number 1356394084
LBN Legal business name Kaufman, Agnes C.
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Mar 24th, 2017 - about 7 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 1356394084 NPPES
Ohio MEDICAID 0921417
Ohio Other 000000382250
Ohio Other 05397
Ohio Other 735038
Ohio Other P00293886

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