Jade, Klaus Bernhard
Jade, Klaus Bernhard is an sole proprietor health care provider with primary practice located at 205A Lilly Rd Ne Suite 2, Olympia WA 98506-5069. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Jade, Klaus Bernhard can be contacted via phone (360) 459-4163.Contact Information
Primary practice address
205A Lilly Rd Ne Suite 2
Olympia WA 98506-5069
Phone: (360) 459-4163
Fax: (360) 456-8155
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | MD00028011 | Washington |
Profile Details
| NPI number | 1912927815 |
|---|---|
| LBN Legal business name | Jade, Klaus Bernhard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 20th, 2006 |
| Last updated | Jan 28th, 2016 - about 8 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 | 1912927815 | NPPES |
| Washington | MEDICAID | 1090935 |
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