MEDICARE: JOSEPH LOREN KAUFFMAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	DC009008	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	DD9068	OTHER	PA	PALMETTO RAILROAD MEDICAR

General Provider Information

NPI Number	:	1154492924
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH LOREN KAUFFMAN

Provider Business Mailing Address
First Line	:	247 E 3RD ST
Second Line	:
City	:	LEWISTOWN
State	:	PA
Zip	:	17044-1712
Country	:	US
Telephone Number	:	717-248-2506
Fax Number	:

Provider Business Practice Location Address
First Line	:	247 E 3RD ST
Second Line	:
City	:	LEWISTOWN
State	:	PA
Zip	:	17044-1712
Country	:	US
Telephone Number	:	717-248-2506
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/13/2006
Last Update Date	:	03/03/2008

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