Kaufmann, Marc Walter

Kaufmann, Marc Walter is an individual health care provider with primary practice located at 1000 36Th St , Vero Beach FL 32960-4862. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Kaufmann, Marc Walter can be contacted via phone (772) 778-9621.

Contact Information

Primary practice address
1000 36Th St Vero Beach FL 32960-4862
Phone: (772) 778-9621
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X OS14373 Florida
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X OS018114 Pennsylvania
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1609132190
LBN Legal business name Kaufmann, Marc Walter
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2012
Last updated Nov 13th, 2023 - 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 1609132190 NPPES
Pennsylvania MEDICAID 1031375300001

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