Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 7

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Independent Duty Corpsman Providers

NPI Name Type Address

1790967503

Carla Christine Clawson

Individual

290 4th St

Nchb-1 Medical Dept

Williamsburg, VA

1407161383

IDC Kerry A. Tester

Individual

108 Sanda Ave Bldg 564

Williamsburg, VA

1124321559

MR. IDC Richard George Mcclelland

Individual

290 4th St

Williamsburg, VA

1194995001

IDC Gerardo Ramirez

Individual

618 4th St

Williamsburg, VA

1124080700

NAVY IDC Rod W Toler

Individual

618 4th St

Williamsburg, VA

1942719380

MR. SFIDC Clinton James Barton

Individual

1016 Norwyk Ln

Williamsburg, VA

1841635836

IDC Paul Q Brown

Individual

618 4th St

Williamsburg, 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