Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 7

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Independent Duty Corpsman Providers

NPI Name Type Address

1891077038

John Cope

Individual

401 E Ave

Coronado, CA

1497199848

IDC Lisa J Lakin

Individual

1415 Leyte Rd Apt C

Coronado, CA

1902159916

Alexis Guadalupe Chavez

Individual

601 Mccain Blvd Bldg 601

Naval Air Station North Island

Coronado, CA

1073924734

Leonard Sydnor

Individual

1504 Da Nang Dr

Unit C

Coronado, CA

1326418708

Francisco Silva

Individual

1522 1st St

Apt X-105

Coronado, CA

1003361742

MR. IDC Caleb James Haynie SR.

Individual

3423 Guadalcanal Rd Bldg 401 2nd Deck

Seal Team Seventeen

Coronado, CA

1013589407

SOIDC Luke Andrew Wagner

Individual

917 3rd St

Coronado, 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