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
Fax: (717) 393-8540
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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