Huttenbach, Dirk E
Huttenbach, Dirk E is an sole proprietor health care provider with primary practice located at 4015 S Cobb Dr Se Suite 210, Smyrna GA 30080-6303. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Huttenbach, Dirk E can be contacted via phone (770) 434-2436.Contact Information
Primary practice address
4015 S Cobb Dr Se Suite 210
Smyrna GA 30080-6303
Phone: (770) 434-2436
Fax: (770) 434-1223
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 013903 | Georgia |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 013903 | Georgia |
Profile Details
| NPI number | 1679536163 |
|---|---|
| LBN Legal business name | Huttenbach, Dirk E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 7th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679536163 | NPPES |
| Georgia | MEDICAID | 00089284A |
Popular Providers
-
White, Crystal L
3644 Highlands Pkwy Se , Smyrna GA 30082-5184 -
Lal, Subodh K
4441 Atlanta Rd Se Ste 204 , Smyrna GA 30080-6442 -
Haggard, Carlton D
4015 S Cobb Dr Se Ste 4, Smyrna GA 30080-6315 -
Cardenas, Francisco J
4441 Atlanta Rd Se Ste 204 , Smyrna GA 30080 -
Cook, Nanette Nicole
3692 Highlands Pkwy Se , Smyrna GA 30082-5184 -
Weiss, Melvin R.
1239 Concord Rd Se , Smyrna GA 30080-4310 -
Pandya, Priti
4441 Atlanta Rd Se Ste 204 , Smyrna GA 30080 -
Kim, David Nam Young
3903 S Cobb Dr Se Suite 200, Smyrna GA 30080-8504