Jack E. Sebben
MOHS-Micrographic Surgeon
1229 Madison St Ste 1480
Seattle
, Washington 98104-3538
Jack E. Sebben
MOHS-Micrographic Surgeon
1229 Madison St Ste 1480
Seattle
, Washington 98104-3538
(206) 346-6647
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About
Features
Specialties
- MOHS-Micrographic Surgeon
Languages spoken
- English
Location
First Address
- Jack E. Sebben
- 1229 Madison St Ste 1480
- Seattle, WA
- Zip : 98104-3538
- Phone : (206) 346-6647
Second Address
- Jack E. Sebben
- 1229 Madison St Ste 1480
- Seattle, WA
- Zip : 98104-3538
- Phone : (206) 346-6647
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FAQs
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Is Jack E. Sebben accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207ND0101X | MOHS-Micrographic Surgeon | C31669 | CA |
| Y | 207ND0101X | MOHS-Micrographic Surgeon | MD00013487 | WA |
National Provider Identifier
| NPI | 1235217951 |
|---|---|
| Provider Name | Jack E. Sebben |
| First Address | Seattle, WA 98104-3538 |
| Second Address | Seattle, WA 98104-3538 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/11/2006 |
| Last Update Date | 06/10/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00C316690 | (05) | CA |
| A34665 | (02) | |
| MD00013487 | STATE OF WASHINGTON (01) | WA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.