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

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Independent Duty Corpsman Providers

NPI Name Type Address

1740527589

MR. IDC Cory John Butler

Individual

310 Worchester Ave Bldg 45

Jbphh, HI

1821502683

Matthew Laurance Reagan

Individual

480 Central Ave

Jbphh, HI

1134759715

IDC David Maldonado Santiago

Individual

590 Moffet St

Jbphh, HI

1265968424

MR. IDC Alec James Carlson

Individual

455 Hornet Ave Ste 101

Jbphh, HI

1336561067

DMTIDC James Ladd Aldridge

Individual

455 Hornet Ave Ste 101

Jbphh, HI

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