Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 94

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Independent Duty Corpsman Providers

NPI Name Type Address

1649879537

David Michael Soliani

Individual

Bld 4101 Stuart Mesa Road

Camp Pendleton, CA

1194327213

SOIDC Joseph Summers

Individual

Bldg 4101

Stuart Mesa Rd

Camp Pendleton, CA

1831786177

John F Lynch

Individual

Bldg 4101 Stuart Mesa Rd

Camp Pendleton, CA

1376130625

SOIDC Christopher Scott Matter

Individual

Bldg 4101 Stuart Mesa Road

Camp Pendleton, CA

1922698679

SOIDC Mark Novak

Individual

1st Recon Bn Bas Bldg 4101 41 Area

Camp Pendleton, CA

1275113128

SOIDC Nicholas Farris

Individual

4101 Stuart Mesa Road

Camp Pendleton, CA

1689252298

SOIDC Adam Stilwell

Individual

1st Recon Bn, Bas, Bldg 4101 Stuart Mesa Rd

Camp Pendleton, CA

1215509237

SOIDC Thomas Concannon Cote

Individual

Bldg 4101 Stuart Mesa Rd

Camp Pendleton, CA

1962089649

IDC Charles Alexander Hall

Individual

3d Aabn Battalion Aid Staion

Bldg 210735

Camp Pendleton, CA

1992464887

MR. SOIDC Oliver Daahir

Individual

1st Reconnaissance Bt

Camp Pendleton, CA

1508527060

SOIDC Enrique Villanueva

Individual

Bldg 210730 C Street

Camp Pendleton, CA

1437574928

MR. IDC Guy Edward Sargent

Individual

22190 10th Street

Camp Pendleton, CA

1437250354

Joseph E Libretto

Individual

5th Marine Regiment, First Marine Division

62 Abmc/buliding 620305 8th Street Camp San Mateo

Camp Pendleton, CA

1114441433

IDC Nicholas Charles Perez

Individual

Combat Logistics Battalion-13

Po Box 555707

Camp Pendleton, CA

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