JACK L DEETJEN MD
NPI 1790953289
Durable Medical Equipment & Medical Supplies in Seguin, TX

Q: What is Jack L Deetjen MD's NPI number?

The NPI number for Jack L Deetjen MD is 1790953289. It was assigned to this organization in the NPPES registry on February 19, 2008.

Q: What is Jack L Deetjen MD's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Q: When was this NPI record last updated?

The NPPES record for Jack L Deetjen MD was last updated on February 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 19, 2008

515 N KING, SUITE 106, SEGUIN, TX 78155(830) 379-8371(830) 379-8378 Get Directions Write a Review

NPPES record last updated: February 15, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jack L Deetjen Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACK L DEETJEN MD (NPI 1790953289) is a healthcare organization registered as a durable medical equipment & medical supplies in Seguin, Texas and active in the NPI registry since February 2008. The organization lists Norma Jean Engelmann, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1790953289

Entity TypeOrganization

Primary Taxonomy332B00000X

Legal Business NameJACK L DEETJEN MD

Location Address515 N KING, SUITE 106Seguin, TX 78155-4815

Mailing Address515 N King St, Suite 106Seguin, TX 78155-4801 · (830) 379-8371 · Fax (830) 379-8378

Phone(830) 379-8371

Fax(830) 379-8378

Organization SubpartNo

Authorized OfficialNorma Jean EngelmannOffice Manager · (830) 379-8371

Enumeration DateFebruary 19, 2008

Last NPPES UpdateFebruary 15, 2024

NPPES CertifiedFebruary 15, 2024

✔ NPI 1790953289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers

Taxonomy Code332B00000X

License✔ Licensed in TX · G4967

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.

515 N KING, Seguin, TX 78155

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Other Identifiers 2

Medicaid033725501TX

Other1699723320N P I

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack L Deetjen MD's NPI number?

The NPI number for Jack L Deetjen MD is 1790953289. It was assigned to this organization in the NPPES registry on February 19, 2008.

Where is Jack L Deetjen MD located?

Jack L Deetjen MD is located at 515 N King Suite 106, Seguin, TX 78155. The listed phone number is (830) 379-8371.

What is Jack L Deetjen MD's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Jack L Deetjen MD was last updated on February 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.