JACK L DEETJEN MD NPI 1790953289

NPI Information

JACK L DEETJEN MD is a durable medical equipment medical supplies in Seguin, TX. The provider is 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. JACK L DEETJEN MD NPI is 1790953289. The provider is registered as an organization entity type.

The provider's business location address is:

515 N KING
SUITE 106
SEGUIN, TX
ZIP 78155-815
Phone: (830) 379-8371
Fax: (830) 379-8378

The provider's authorized official is Jeanie Walpole .
The authorized official title is Office Manager and has the following contact phone number (830) 379-8371.

The enumeration date for this NPI number is 2/19/2008 and was last updated on 11/16/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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