Kaufman, Bryan Lee
Kaufman, Bryan Lee is an individual health care provider with primary practice located at 4136 Stowe Run Ln , Jacksonville FL 32225-1622. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Kaufman, Bryan Lee can be contacted via phone (828) 389-9740.Contact Information
Primary practice address
4136 Stowe Run Ln
Jacksonville FL 32225-1622
Phone: (828) 389-9740
Fax: (866) 735-3451
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | ME74867 | Florida |
Profile Details
NPI number | 1881691764 |
---|---|
LBN Legal business name | Kaufman, Bryan Lee |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 7th, 2005 |
Last updated | Feb 13th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1881691764 | NPPES |
Other | 300110020 | RR | |
Other | 43420 | RR | |
MEDICAID | 259066200 | RR |
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