Kaufman, Ira

Kaufman, Ira is an individual health care provider with primary practice located at 401 Bicentennial Drive , Santa Rosa CA 95404. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Kaufman, Ira can be contacted via phone (707) 571-4015.

Contact Information

Primary practice address
401 Bicentennial Drive Santa Rosa CA 95404
Phone: (707) 571-4015
Fax: (707) 571-3799
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X LCS17902 California

Profile Details

NPI number 1104988534
LBN Legal business name Kaufman, Ira
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2006
Last updated Jul 24th, 2007 - about 17 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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