Roraback-Carson, Jenny

Roraback-Carson, Jenny is an individual health care provider with primary practice located at Harborview Senior Care Clinic (3Wc) 325 9Th Ave, Seattle WA 98104. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is her primary health care specialty. Roraback-Carson, Jenny can be contacted via phone (206) 744-5415.

Contact Information

Primary practice address
Harborview Senior Care Clinic (3Wc) 325 9Th Ave Seattle WA 98104
Phone: (206) 744-5415
Fax: (206) 744-3270
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD60100998 Washington
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X MD60100998 Washington

Profile Details

NPI number 1902005549
LBN Legal business name Roraback-Carson, Jenny
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2007
Last updated Nov 19th, 2011 - about 14 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 1902005549 NPPES
Washington Other MD60100998 MEDICAL LICENSE
Washington MEDICAID 1902005549 MEDICAL LICENSE

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