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
Fax: (206) 244-1223
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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