Kloss, Herbert
Kloss, Herbert is an individual health care provider with primary practice located at 5057 84Th Ave Se , Mercer Island WA 98040-4617. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Kloss, Herbert can be contacted via phone (206) 244-1212.Contact Information
Primary practice address
5057 84Th Ave Se
Mercer Island WA 98040-4617
Phone: (206) 244-1212
Fax: (206) 244-1223
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | MD00017372 | Washington |
Profile Details
| NPI number | 1407846504 |
|---|---|
| LBN Legal business name | Kloss, Herbert |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 28th, 2005 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1407846504 | NPPES |
| Washington | Other | 0139716 | DEPT OF LABOR & INDUSTRIE |
| Washington | Other | P00113699 | DEPT OF LABOR & INDUSTRIE |
| Washington | MEDICAID | 1055268 | DEPT OF LABOR & INDUSTRIE |
| Washington | Other | 9638KL | DEPT OF LABOR & INDUSTRIE |
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