Jenny, Carole

Jenny, Carole is an individual health care provider with primary practice located at 10 Decatur Is Decatur Island, Anacortes WA 98221-9402. She recently has only one registered license in Allopathic & Osteopathic Physicians / Child Abuse Pediatrics, which is considered as her primary health care specialty. Jenny, Carole can be contacted via phone (360) 375-6277.

Contact Information

Primary practice address
10 Decatur Is Decatur Island Anacortes WA 98221-9402
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child Abuse Pediatrics 2080C0008X MD00015417 Washington

Profile Details

NPI number 1922052109
LBN Legal business name Jenny, Carole
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Nov 19th, 2013 - about 12 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 1922052109 NPPES
Rhode Island MEDICAID CJ30400

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