Jack L Deetjen in Seguin - Durable Medical Equipment & Medical Supplies
Jack L Deetjen - NPI 1699723320
Jack L Deetjen is a Durable Medical Equipment & Medical Supplies in Seguin, Texas. Jack L Deetjen practices all healthcare services and medical treatments related to Durable Medical Equipment & Medical Supplies. 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 | Durable Medical Equipment & Medical Supplies |
|---|---|
| Taxonomy | 332B00000X |
|
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's use in the home and that are usable for an extended period of time. |
|
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 Durable Medical Equipment & Medical Supplies, and the taxonomy code that classifies this field of practice is 332B00000X.
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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