Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 11

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Independent Duty Corpsman Providers

NPI Name Type Address

1174884340

IDC Wilson Rodriguez

Individual

19165 Puritas Ave

Cleveland, OH

1730438797

Sean Leibrock

Individual

4816 Marshall Rd

Kettering, OH

1194152538

MR. SFIDC Chad Henry Chartier

Individual

225 S Boundary St

Edison, OH

1700297025

Zachary Silveus

Individual

717 G St

Findlay, OH

1982015392

Adam Logan Vorlicky

Individual

405 Main St.

Oakwood, OH

1942667548

Lashawnda C Gaston

Individual

1322 Le Mar Dr

Cincinnati, OH

1780045179

IDC Christopher Trimmer

Individual

10228 State Route 82

Windham, OH

1255993556

IDC Benjamin Singleton

Individual

4906 Bittern Ct

Dayton, OH

1437816253

HS Davin Deuel

Individual

1240 E 9th St Ste 2693

Cleveland, OH

1427715242

HS Daniel Joseph Theriault

Individual

1240 E 9th St Ste 2693

Cleveland, OH

1346985314

Ciara Cross

Individual

2417 May St

Cincinnati, OH

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