Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 15

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Independent Duty Corpsman Providers

NPI Name Type Address

1972761021

NAVY IDC Christopher Crowe

Individual

Psc Box 8023

Apo, AA

1134454770

MS. Carrie Lynn Decker

Individual

Eod Exp Support Unit One

3502 Attu Rd Bldg 326 San Diego Ca

Apo, AA

1871870022

MR. IDC Ken Samuel Conklin

Individual

Psc Box 20073

Camp Lejeune, Nc

Apo, AA

1982000550

Eric Haynes

Individual

Psc Box 20116 Camp Lejeune

Apo, AA

1841703543

MILITARY SOIDC Christopher Andrew Hughes

Individual

1st Marine Raider Battalion

Box # 555341

Apo, AA

1568929636

MR. SOIDC Rory Joseph Farrell

Individual

Camp Pendleton

Apo, AA

1720624992

SOIDC Joshua Marcus Kuepper

Individual

4th Force Reconnaissance Co

1181 Sumner Rd Mcb Kaneohe Bay Hi

Apo, AA

1316542046

SOIDC Kevin Edward Boeringer

Individual

Camp Lejuene

Apo, AA

1922684422

Eric Alexander Archuleta

Individual

1st Marine Raider Battalion, Marine Raider Regiment

555341

Apo, AA

1558944249

Connor Sean Tracey

Individual

3d Recon Bas Unit 36180 Fpo Ap

Apo, AA

1184393506

MR. SOIDC Benjamin Cornelius Donnelly

Individual

2d Mardiv

2d Reconnaissance Bn

Apo, AA

1811666134

Alan Yen

Individual

2d Mardiv

2d Reconnaissance Bn., Camp Lejeune

Apo, AA

1063175263

Jeffrey Steven Eastwood

Individual

2nd Mardiv, 2nd Recon Battalion

Sneads Ferry Rd Bldg A71

Apo, AA

1124784327

IDHS Robert Alonzo

Individual

1 Ediz Hook

Medical

Apo, AA

1285393116

Adam Michael Emery

Individual

2d Reconnaissance Battalion

Apo, AA

How to obtain, renew, or terminate an NPI

Every health care provider, whether it’s a hospital, pharmacy, or individual specialist, must obtain their own NPI number. This identification number is unique and is assigned upon application. In tod...

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Taxonomy Code 1710I1002X
Specialization Independent Duty Corpsman
Display Name Independent Duty Corpsman
Taxonomy Group Other Service Providers
Taxonomy Classification Military Health Care Provider
Definition A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
Effective Date September 30, 2009
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Military Health Care Provider Codes

Independent Duty Medical Technicians

1710I1003X • providers: 1,299

Military Health Care Provider

171000000X • providers: 1,689