Kaufman, Jessie G
Kaufman, Jessie G is an sole proprietor health care provider with primary practice located at 235 Paseo Del Canon E , Taos NM 87571-6239. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Kaufman, Jessie G can be contacted via phone (505) 613-3163.Contact Information
Primary practice address
235 Paseo Del Canon E
Taos NM 87571-6239
Phone: (505) 613-3163
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | I-05995 | New Mexico |
Profile Details
| NPI number | 1710067921 |
|---|---|
| LBN Legal business name | Kaufman, Jessie G |
| Credentials | LISW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 16th, 2006 |
| Last updated | Jun 1st, 2015 - about 9 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 | 1710067921 | NPPES |
| New Mexico | MEDICAID | 27107761 |
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