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

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Independent Duty Corpsman Providers

NPI Name Type Address

1619955655

Richard Collier Neal

Individual

563 Point Peter Rd

Saint Marys, GA

1780640722

Sean Mason

Individual

15 Natures Bounty Trl

Saint Marys, GA

1225156441

MR. IDC David Michael Holt

Individual

341 Creekside Dr

Saint Marys, GA

1619916186

MR. IDC Jonathan Blackmon

Individual

603 Wild Grape Dr

Saint Marys, GA

1528721412

Alexandra L Richey

Individual

563 Point Peter Rd

Saint Marys, GA

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