Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 29

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Independent Duty Corpsman Providers

NPI Name Type Address

1902399199

Jeremy Urbanowski

Individual

656 Dogwood Ct S

Oceanside, CA

1023504412

IDEPENDENT DUTY CORP Christopher Russell Peterson

Individual

909 Ash Rd

Oceanside, CA

1811528359

Misaael Valdes

Individual

Building, B St

Oceanside, CA

1073135836

IDC Roxana Ivette Rodriguez

Individual

22190 Marine Dr

Oceanside, CA

1518582030

Cody Alexander Jones

Individual

1st Marine Raider Battalion Medical

Oceanside, CA

1730791435

MR. IDC Derek Michael Jensen

Individual

1st Medical Battalion

22 Area Bldg. 22190

Oceanside, CA

1801494182

Luis Alberto Necoechea

Individual

1st Recon Bn Bas

Oceanside, CA

1316547227

SOIDC Landri Acosta

Individual

5075 Tranquil Way # 102

Oceanside, CA

1992396634

Joshua Craig Kissel

Individual

Area 21 Building 210735

Camp Del Mar

Oceanside, 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