Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 35

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Independent Duty Corpsman Providers

NPI Name Type Address

1942407952

IDC Andrew Donald Elliott

Individual

106 Thorntree Ct

Jacksonville, NC

1770782435

IDC James E Burton

Individual

2nd Aa Bn

Jacksonville, NC

1013107499

IDC Mark Anthony Mitchell

Individual

1140 Kellum Loop Rd

#36

Jacksonville, NC

1417148867

MR. IDC Christian Carl Kerlick JR.

Individual

305 Raintree Cir

Jacksonville, NC

1902873961

IDC Alvin Rivers

Individual

110 Marble Court

Jacksonville, NC

1306032123

MR. IDC Steve Krishna Ramlogan

Individual

503 Corbin St Apt C4

Jacksonville, NC

1841486586

MR. INDEPENDENT DUTY COR Louis Carl Delprete

Individual

1227 Mcavoy St

Jacksonville, NC

1225225857

MR. I.D.C. John Arthur Fenstermacher

Individual

103 Cherrywood Ct

Jacksonville, NC

1629267992

IDC Justin Sutton Sutton

Individual

201 Kings Pond Dr

Jacksonville, NC

1033398342

MR. IDC Brandon Balisacan Dela Cruz

Individual

D Street

Building 202

Jacksonville, NC

1891975983

MR. Eric Shannon Gallagher

Individual

900 Kensington Dr

Apt 923

Jacksonville, NC

1013176189

PROF. Carolina Bornstein

Individual

Building As 100 White St

Mcas Nr

Jacksonville, NC

1386803872

MS. IDC Jennifer Louise Knuth

Individual

Psc Box 21034

Jacksonville, NC

1285896589

MR. IDC Gerald Oliver Brant JR.

Individual

305 Wellington Pl

Jacksonville, NC

1255583225

MR. IDC Kevin Charles Heingarten

Individual

143 Spring Leaf Ln

Jacksonville, NC

1699905513

MR. Jeremy Paul Pionk

Individual

700 Talon Cir

Apt 1c

Jacksonville, NC

1982837621

MR. IDC Justin Garofolo Mannick

Individual

614 Graystone Ave

Jacksonville, NC

1679896427

MR. IDC Mark A. Laforme

Individual

216 Bunker Ct

Jacksonville, NC

1093000762

MR. IDC Logan James Bell

Individual

704 Harther Dr

Jacksonville, NC

1578841771

SFIDC Scott Lawrence Teahan

Individual

101 Puller Dr

Jacksonville, NC

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