Kaufman, Stephen Richard

Kaufman, Stephen Richard is an individual health care provider with primary practice located at 4676 Douglas Cir Nw , Canton OH 44718-3619. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Retina Specialist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Retina Specialist is his primary health care specialty. Kaufman, Stephen Richard can be contacted via phone (330) 494-1116.

Contact Information

Primary practice address
4676 Douglas Cir Nw Canton OH 44718-3619
Phone: (330) 494-1116
Fax: (330) 494-0276
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X 35.061194 Ohio
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD66059L Pennsylvania
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 35061194 Ohio

Profile Details

NPI number 1568464832
LBN Legal business name Kaufman, Stephen Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated May 24th, 2021 - about 3 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 1568464832 NPPES
Ohio MEDICAID 0851618
Ohio MEDICAID 0017080100001

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