Provider Demographics
NPI:1033376314
Name:BRIAN E. KAUFMAN, D.O.,LLC
Entity Type:Organization
Organization Name:BRIAN E. KAUFMAN, D.O.,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:E
Authorized Official - Last Name:KAUFMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:207-216-9821
Mailing Address - Street 1:952 POST RD UNIT 8
Mailing Address - Street 2:
Mailing Address - City:WELLS
Mailing Address - State:ME
Mailing Address - Zip Code:04090-4142
Mailing Address - Country:US
Mailing Address - Phone:207-216-9821
Mailing Address - Fax:207-302-4691
Practice Address - Street 1:952 POST RD UNIT 8
Practice Address - Street 2:
Practice Address - City:WELLS
Practice Address - State:ME
Practice Address - Zip Code:04090-4142
Practice Address - Country:US
Practice Address - Phone:207-216-9821
Practice Address - Fax:207-302-4691
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-22
Last Update Date:2019-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty