Sebben, Jack E.

Sebben, Jack E. is an individual health care provider with primary practice located at 1229 Madison St Ste 1480 , Seattle WA 98104-3538. He recently has only one registered license in Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, which is considered as his primary health care specialty. Sebben, Jack E. can be contacted via phone (206) 346-6647.

Contact Information

Primary practice address
1229 Madison St Ste 1480 Seattle WA 98104-3538
Phone: (206) 346-6647
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X C31669 California
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X MD00013487 Washington

Profile Details

NPI number 1235217951
LBN Legal business name Sebben, Jack E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Oct 6th, 2008 - about 18 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 1235217951 NPPES
California MEDICAID 00C316690
California Other MD00013487

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