Provider Demographics
NPI:1639439946
Name:ANDREW J. KAUFMANN, ND, P.L.C.
Entity Type:Organization
Organization Name:ANDREW J. KAUFMANN, ND, P.L.C.
Other - Org Name:TREE OF LIFE NATURAL MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:J
Authorized Official - Last Name:KAUFMANN
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:480-840-1841
Mailing Address - Street 1:459 N. GILBERT ROAD
Mailing Address - Street 2:SUITE A-135
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85234
Mailing Address - Country:US
Mailing Address - Phone:480-840-1841
Mailing Address - Fax:480-840-1596
Practice Address - Street 1:459 N. GILBERT ROAD
Practice Address - Street 2:SUITE A-135
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85234
Practice Address - Country:US
Practice Address - Phone:480-840-1841
Practice Address - Fax:480-840-1596
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-21
Last Update Date:2020-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ04-802175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Single Specialty