Krebsbach, John Bernard

Krebsbach, John Bernard is an sole proprietor health care provider with primary practice located at 518 Se Oak St Ste 2020 , Hillsboro OR 97123-4896. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Krebsbach, John Bernard can be contacted via phone (503) 648-2020.

Contact Information

Primary practice address
518 Se Oak St Ste 2020 Hillsboro OR 97123-4896
Fax: (503) 648-0868
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1571ATI Oregon

Profile Details

NPI number 1134204159
LBN Legal business name Krebsbach, John Bernard
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 26th, 2006
Last updated Nov 6th, 2017 - about 9 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 1134204159 NPPES
Oregon MEDICAID 130026

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