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
Fax: (770) 434-1223
Website:

Health care specialties

SpecialtyCodeLicense #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 17 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 1679536163 NPPES
Georgia MEDICAID 00089284A

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