Jenner, Carrie L

Jenner, Carrie L is an individual health care provider with primary practice located at 7210 40Th St W Ste 100, University Place WA 98466-4237. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Jenner, Carrie L can be contacted via phone (253) 564-0170.

Contact Information

Primary practice address
7210 40Th St W Ste 100 University Place WA 98466-4237
Phone: (253) 564-0170
Fax: (253) 207-4240
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD00034173 Washington

Profile Details

NPI number 1437160140
LBN Legal business name Jenner, Carrie L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2006
Last updated Nov 23rd, 2010 - about 15 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 1437160140 NPPES
Washington Other 126537 L & I
Washington MEDICAID 8208399 L & I
Washington Other 370013713 L & I
Washington Other 8935092 L & I

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