Kaufman, Mitchell Heston

Kaufman, Mitchell Heston is an sole proprietor health care provider with primary practice located at 10001 Lile Dr , Little Rock AR 72205-6217. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Kaufman, Mitchell Heston can be contacted via phone (201) 227-8000.

Contact Information

Primary practice address
10001 Lile Dr Little Rock AR 72205-6217
Fax: (501) 221-5850
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X G57902 California
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 40120 South Carolina

Profile Details

NPI number 1164536553
LBN Legal business name Kaufman, Mitchell Heston
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 19th, 2006
Last updated Oct 25th, 2016 - about 8 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 1164536553 NPPES
Arkansas MEDICAID 163580001
Arkansas MEDICAID 401201
Arkansas Other E-5065
Arkansas Other 5N745

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