Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 4

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Independent Duty Corpsman Providers

NPI Name Type Address

1548677198

Bonnie Bueno

Individual

1575 Oak Dr

F-14

Vista, CA

1659776599

MR. SF-IDC Kevin Robert Wilhelm

Individual

1524 Promontory Ridge Way

Vista, CA

1366817082

MRS. IDC Brittini Laroya

Individual

1364 Isabella Way

Vista, CA

1205399136

NAVY IDC Matthew Joseph Gentile

Individual

442 Florencia Ln

Vista, 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