Jack L Deetjen Md

LBN: Jack L Deetjen Md
Jack L Deetjen Md is an health care organization with primary practice located at 515 N King Suite 106, Seguin TX 78155-4815. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Jack L Deetjen Md can be contacted via phone (830) 379-8371, or through Engelmann, Norma Jean via phone (830) 379-8371.

Contact Information

Primary practice address
515 N King Suite 106 Seguin TX 78155-4815
Phone: (830) 379-8371
Fax: (830) 379-8378
Website:
Map and Directions
Authorized official contact:
Name: Engelmann, Norma Jean
Phone: (830) 379-8371

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X G4967 Texas

Profile Details

NPI number 1790953289
LBN Legal business name Jack L Deetjen Md
DBA Doing business as
Authorized official Engelmann, Norma Jean
Entity Organization
Organization subpart 1 No
Enumeration date Feb 19th, 2008
Last updated Feb 15th, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790953289 NPPES
Texas MEDICAID 033725501
Texas Other 1699723320

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