Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 27

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Independent Duty Corpsman Providers

NPI Name Type Address

1447564232

IDC Rhonda Wiley

Individual

2410 Sampson St

Great Lakes, IL

1497045579

MR. IDC Marc Gerald Smith

Individual

3355 Illinois St

Bldg 1007

Great Lakes, IL

1699046482

MR. IDC James Albert Shumaker SR.

Individual

2430 Illinois Street

1007 Uss Tranquillity

Great Lakes, IL

1144588039

MR. Luis Victor Fernandez

Individual

2410 Sampson St

Great Lakes, IL

1245434513

MR. IDC John Dangca Vasquez

Individual

3001 6th St

Great Lakes, IL

1679786057

MR. IDC James R Butts

Individual

329 Dewy Ave

Great Lakes, IL

1215333299

Jonathan Ramonbeebe

Individual

3694 Minnesota Ave Apt D

Great Lakes, IL

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