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Contact Information

CLINTON L KAUFFMAN, MD
540 HOSPITAL DR
WINAMAC, IN46996
 Phone: 574-946-2194
 Fax: 574-946-2196
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for CLINTON L KAUFFMAN · (Male)

NPI Number 1013062686
Status Active
Credentials MD
Entity Individual
Enumeration date 01/24/2007
Last updated 03/13/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 01057944A
  • IN Medicaid 200444820
  • IN Other 01057944A STATE LICENSE
Hospital affiliation(s)
  • PULASKI MEMORIAL HOSPITAL - (Critical Access)
    616 E 13TH ST
    WINAMAC, IN 46996
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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