NPI 1699723320 JACK L DEETJEN M.D. SEGUIN TX. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Jack L Deetjen - NPI: 1699723320

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: JACK L DEETJEN
NPI Number: 1699723320
Entity Type Code: Individual (1)
Gender: M
Credentials: M.D.
License Number:
Business Practice Address: 515 N King St
Suite 106 Seguin, TX - 781554815
Business Phone Number: 8303798371
Business Fax Number: 8303798378
Mailing Address: 515 N King St, Suite 106
SEGUIN
State: TX
Postal Code: 781554815
Phone Number: 8303798371
Fax Number: 8303798378
NPI Enumeration Date: 05/05/2006
NPI Last Update Date: 12/30/2011
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 332B00000X
License Number:
Healthcare Provider Taxonomy:
(Secondary)
N
State:
Taxonomy Type: Suppliers
Taxonomy Classification: Durable Medical Equipment & Medical Supplies
Taxonomy Specialization:
Taxonomy Definition:
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient


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