Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 5

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Independent Duty Corpsman Providers

NPI Name Type Address

1376877472

SFIDC Chelsee Renee Bavas

Individual

3038 E 6th St

National City, CA

1578834735

MR. IDC Austine Pintor Suva

Individual

801 National City Blvd Unit 1112

National City, CA

1912377490

Haley Christopher Brewer

Individual

644 Paradise Way

National City, CA

1043670045

IDC Joseph Yolles

Individual

1941 F Ave Apt 1

National City, CA

1205488319

IDC Kevin Franklin Pollock

Individual

45 E 12th St Unit 406

National City, 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