Kaufman, Jay Howard

Kaufman, Jay Howard is an individual health care provider with primary practice located at 250 Cetronia Rd Suite 303, Allentown PA 18104-9147. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Kaufman, Jay Howard can be contacted via phone (610) 973-6200.

Contact Information

Primary practice address
250 Cetronia Rd Suite 303 Allentown PA 18104-9147
Fax: (610) 973-6546
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X SC-003737-L Pennsylvania

Profile Details

NPI number 1962402495
LBN Legal business name Kaufman, Jay Howard
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2005
Last updated Jan 16th, 2014 - about 10 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 1962402495 NPPES
Pw Other 739579 BLUE SHIELD
Pw MEDICAID 0014614140003 BLUE SHIELD
Pw Other 01203101 BLUE SHIELD

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