Kaufman, Dwight
Kaufman, Dwight is an individual health care provider with primary practice located at 720 W Forest Avenue , Jackson TN 38301-3902. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as his primary health care specialty. Kaufman, Dwight can be contacted via phone (731) 541-9561.Contact Information
Primary practice address
720 W Forest Avenue
Jackson TN 38301-3902
Phone: (731) 541-9561
Fax: (731) 541-1829
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | MD26550 | Tennessee |
Profile Details
| NPI number | 1457328692 |
|---|---|
| LBN Legal business name | Kaufman, Dwight |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 7th, 2006 |
| Last updated | Jan 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457328692 | NPPES |
| Tennessee | MEDICAID | 3090002 |
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