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
Phone: (201) 227-8000
Fax: (501) 221-5850
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164536553 | NPPES |
| Arkansas | MEDICAID | 163580001 | |
| Arkansas | MEDICAID | 401201 | |
| Arkansas | Other | E-5065 | |
| Arkansas | Other | 5N745 |
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