Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 4

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Independent Duty Corpsman Providers

NPI Name Type Address

1336355239

IDC Russell Lee Short

Individual

7513 Brittany Lakes Dr

Wilmington, NC

1336471374

SOIDC William Lee Fairall

Individual

8161 Red Cockaded Ct Apt 103

Wilmington, NC

1457673022

MR. IDC Michael Cameron Lewis

Individual

7528 Foxwerth Dr

Wilmington, NC

1518240423

SOIDC Michael Thomas Denoyer

Individual

7302 Farrington Farms Dr

Wilmington, 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