Klos, Julian W
Klos, Julian W is an sole proprietor health care provider with primary practice located at 12040 Ne 128Th Street , Kirkland WA 98034-3013. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Klos, Julian W can be contacted via phone (425) 899-1000.Contact Information
Primary practice address
12040 Ne 128Th Street
Kirkland WA 98034-3013
Phone: (425) 899-1000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | MD00038004 | Washington |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | MD00038004 | Washington |
Profile Details
| NPI number | 1023062635 |
|---|---|
| LBN Legal business name | Klos, Julian W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 19th, 2006 |
| Last updated | Jan 12th, 2009 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023062635 | NPPES |
| Oregon | MEDICAID | 213588 | |
| Oregon | MEDICAID | 8257644 | |
| Oregon | Other | 1008KL | |
| Oregon | MEDICAID | 1112374 |
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