Provider Demographics
NPI:1639363443
Name:KAUFMAN, STEVEN EDWARD (LAC)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:EDWARD
Last Name:KAUFMAN
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 RESERVOIR CIR
Mailing Address - Street 2:SUITE 201
Mailing Address - City:PIKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-6393
Mailing Address - Country:US
Mailing Address - Phone:443-334-1998
Mailing Address - Fax:
Practice Address - Street 1:2 RESERVOIR CIR
Practice Address - Street 2:SUITE 201
Practice Address - City:PIKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21208-6393
Practice Address - Country:US
Practice Address - Phone:443-334-1998
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-05
Last Update Date:2007-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDU00628171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist