Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 6

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Independent Duty Corpsman Providers

NPI Name Type Address

1912968488

Aaron Donald Johnson

Individual

519 Catapult Ct

Suffolk, VA

1659451748

MRS. HS Kimberly Helen Mcqueen

Individual

3000 Kempton Park Rd

Suffolk, VA

1972791218

MR. IDC Theodore Harrison JR.

Individual

3020 Silver Charm Cir

Suffolk, VA

1649428525

IDC Alexander Richard Misiunas

Individual

2833 Heritage Dr

Suffolk, VA

1427281229

INDEPENDENT DUTY HM Christopher Andrew Dejesus

Individual

401 Locust Ct

Suffolk, VA

1558707984

IDC Amy Marie Clark

Individual

260 Barnes Rd

Suffolk, VA

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