Jack L Deetjen in Seguin - Orthopaedic Surgery
Jack L Deetjen - NPI 1699723320
Jack L Deetjen is a Orthopaedic Surgery in Seguin, Texas. Jack L Deetjen practices all healthcare services and medical treatments related to Orthopaedic Surgery. The NPI Number for Jack L Deetjen is 1699723320. The last update date is 2011-12-30.
Jack L Deetjen's current location address is 515 N King St, Seguin, Texas. You can contact this provider via phone number 8303798371 and fax number 8303798378. The mailing address for Jack L Deetjen is 515 N King St, Seguin, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack L Deetjen |
|---|---|
| Address | 515 N King St, Seguin, Texas |
| Phone Number | 8303798371 |
| Fax Number | 8303798378 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1699723320 |
|---|---|
| Provider Enumeration Date | 2006-05-05 |
| Last Updated Date | 2011-12-30 |
Provider Mailing Address Detail
| Address | 515 N King St |
|---|---|
| City | Seguin |
| State | Texas (TX) |
| Post Code | 781554815 |
| Phone Number | 8303798371 |
| Fax Number | 8303798378 |
Provider's Primary Taxonomy Detail
| Speciality | Orthopaedic Surgery |
|---|---|
| Taxonomy | 207X00000X |
| Licence No | G4967 |
|
Definition: An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the car |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00H38Y | TX | BCBS | |
| 33725501 | TX | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Jack L Deetjen by the Centers for Medicare & Medicaid Services?
The Jack L Deetjen has been issued the NPI (National Provider Identifier) 1699723320. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Jack L Deetjen is physically located?
The Jack L Deetjen is physically situated at the following address: 515 N King St, Seguin, TX, 781554815.
What is Jack L Deetjen's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jack L Deetjen is Orthopaedic Surgery, and the taxonomy code that classifies this field of practice is 207X00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1699723320 to Jack L Deetjen?
The Centers for Medicare & Medicaid Services originally issued the 1699723320 to Jack L Deetjen on 2006-05-05.
When was the Jack L Deetjen's information last updated?
The Jack L Deetjen's information was last updated on 2011-12-30.
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