Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 9

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Independent Duty Corpsman Providers

NPI Name Type Address

1265407191

MR. CORPSMAN Matthew Todd Benton

Individual

1175 Airport Access Rd

Traverse City, MI

1730371428

SFIDC Gary Wayne Hembree

Individual

22618 Clairwood St

Saint Clair Shores, MI

1386802882

BSW, MA Judith Duncan

Individual

340 W Grand Blvd

Detroit, MI

1073603817

MR. Robert Frank

Individual

632 Coast Guard Dr

Uscgc Mackinaw Wlbb 30

Cheboygan, MI

1760743983

MR. IDC David Lenn

Individual

38539 Arcola Dr

Sterling Heights, MI

1164818316

IDC Deanna Mason

Individual

12075 Saint Aubin St

Hamtramck, MI

1356721005

INDEPENDENT DUTY COR Christopher Dale Perry

Individual

3332 S Kearsley Blvd

Flint, MI

1033880398

April Steffens

Individual

2700 Omar St

Port Huron, MI

1689345845

MS. USCG IDHS Ashley Nicole Scott

Individual

632 Coast Guard Dr

Cheboygan, MI

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