Individual
JACK E. SEBBEN
Active
Individual
JACK E. SEBBEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
C31669
CA
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
MD00013487
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C316690
—
CA
01
—
MD00013487
STATE OF WASHINGTON
WA
Enumeration date
11/01/2006
Last updated
10/06/2008
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