Kaufman, Clark Robert
Kaufman, Clark Robert is an individual health care provider with primary practice located at 2445 Marietta Ave , Lancaster PA 17601-1942. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Allergy & Immunology. Other Service Providers / Specialist is his primary health care specialty. Kaufman, Clark Robert can be contacted via phone (717) 393-1365.Contact Information
Primary practice address
2445 Marietta Ave
Lancaster PA 17601-1942
Phone: (717) 393-1365
Fax: (717) 393-8540
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | MD036013E | Pennsylvania |
Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | MD036013E | Pennsylvania |
Profile Details
NPI number | 1326036468 |
---|---|
LBN Legal business name | Kaufman, Clark Robert |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 12th, 2005 |
Last updated | Oct 7th, 2014 - about 11 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 | 1326036468 | NPPES |
Other | 7014809 | GEISINGER | |
Other | 0099126000 | GEISINGER | |
Other | 0421114 | GEISINGER | |
Other | 117425 | GEISINGER | |
Other | 0011635840001 | GEISINGER | |
Other | 1326036468 | GEISINGER | |
Other | 030003465 | GEISINGER | |
Other | 0412114 | GEISINGER | |
Other | 117425 | GEISINGER | |
Other | 0099126000 | GEISINGER | |
Other | 1519641 | GEISINGER | |
Other | 248732 | GEISINGER | |
Other | 30108A | GEISINGER | |
MEDICAID | 001163584 | GEISINGER | |
Other | 01799101 | GEISINGER | |
Other | 0421114 | GEISINGER | |
Other | 421114GLF | GEISINGER | |
Other | 0466380 | GEISINGER | |
Other | 7125391002 | GEISINGER |
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