Neilrose Laciste Gervacio in Fpo - Independent Duty Corpsman
Neilrose Laciste Gervacio - NPI 1063460210
Neilrose Laciste Gervacio is a Independent Duty Corpsman in Fpo, . Neilrose Laciste Gervacio practices all healthcare services and medical treatments related to Independent Duty Corpsman. The NPI Number for Neilrose Laciste Gervacio is 1063460210. The last update date is 2008-04-20.
Neilrose Laciste Gervacio's current location address is Camp Schwab Bmc, Fpo, . You can contact this provider via phone number 11816117252272. The mailing address for Neilrose Laciste Gervacio is Camp Schwab Bmc, Fpo, . To know further, please read the information below!
Provider Profile Detail
| Provider Name | Neilrose Laciste Gervacio |
|---|---|
| Address | Camp Schwab Bmc, Fpo, |
| Phone Number | 11816117252272 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | IDC |
NPI Number Detail
| NPI Number | 1063460210 |
|---|---|
| Provider Enumeration Date | 2006-05-04 |
| Last Updated Date | 2008-04-20 |
Provider Mailing Address Detail
| Address | Camp Schwab Bmc |
|---|---|
| City | Fpo |
| State | (AP) |
| Post Code | 96604 |
| Phone Number | 11816117252272 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Independent Duty Corpsman |
|---|---|
| Taxonomy | 1710I1002X |
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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 v |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1710I1002X | INDEPENDENT DUTY CORPSMAN |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Neilrose Laciste Gervacio by the Centers for Medicare & Medicaid Services?
The Neilrose Laciste Gervacio has been issued the NPI (National Provider Identifier) 1063460210, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Neilrose Laciste Gervacio's facilities are situated?
The facilities of Neilrose Laciste Gervacio are physically located at the following address: Camp Schwab Bmc, Fpo, AP, 96604.
What is Neilrose Laciste Gervacio's specialized field of practice, and what is the corresponding taxonomy classification code?
The Neilrose Laciste Gervacio's area of specialization is Independent Duty Corpsman, and the corresponding taxonomy code that categorizes this field of practice is 1710I1002X.
On what date did Neilrose Laciste Gervacio receive its 1063460210 assignment from the Centers for Medicare & Medicaid Services?
The Neilrose Laciste Gervacio was assigned its 1063460210 on 2006-05-04, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Neilrose Laciste Gervacio most recently updated or revised?
The information pertaining to Neilrose Laciste Gervacio, including its address, specialty, and other relevant details, was last updated or revised on 2008-04-20.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY