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

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Independent Duty Corpsman Providers

NPI Name Type Address

1245674332

Miguel Angel Roman

Individual

35 Union St

Apt. 521

New London, CT

1528512175

MR. IDC Adam Sigurd Larson

Individual

158 Hawthorne Dr

17d

New London, CT

1104361997

IDC Jean Paul Dennis Vargas

Individual

96 Michael Rd Apt F

New London, CT

1306369327

IDC Andrew Tristan Bell

Individual

159 Trout Ave

New London, CT

1659047827

David Nathaniel Taylor

Individual

60 Mansfield Rd Apt 320

New London, CT

1841932662

MR. IDC Damian Joel Aguilar

Individual

43 Granite St Apt C6

New London, CT

1780310714

MR. Christian L Flowers

Individual

87 Michael Rd Apt E

New London, CT

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