Karlton James Bethea in Ridgecrest - Independent Duty Corpsman
Karlton James Bethea - NPI 1700061322
Karlton James Bethea is a Independent Duty Corpsman in Ridgecrest, California. Karlton James Bethea practices all healthcare services and medical treatments related to Independent Duty Corpsman. The NPI Number for Karlton James Bethea is 1700061322. The last update date is 2008-01-02.
Karlton James Bethea's current location address is 249 E Upjohn Ave, Ridgecrest, California. You can contact this provider via phone number 7577731888. The mailing address for Karlton James Bethea is 249 E Upjohn Ave, Ridgecrest, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Karlton James Bethea |
|---|---|
| Address | 249 E Upjohn Ave, Ridgecrest, California |
| Phone Number | 7577731888 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | IDC |
NPI Number Detail
| NPI Number | 1700061322 |
|---|---|
| Provider Enumeration Date | 2008-01-02 |
| Last Updated Date | 2008-01-02 |
Provider Mailing Address Detail
| Address | 249 E Upjohn Ave |
|---|---|
| City | Ridgecrest |
| State | California (CA) |
| Post Code | 935554175 |
| Phone Number | 7577731888 |
| 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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What is the Karlton James Bethea's unique identification number?
The Karlton James Bethea has been assigned the NPI (National Provider Identifier) Number 1700061322 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Karlton James Bethea?
The Karlton James Bethea is physically situated at 249 E Upjohn Ave, in the city of Ridgecrest, state of CA, with the postal code 935554175.
What is the area of specialization for Karlton James Bethea, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Karlton James Bethea is Independent Duty Corpsman, and the corresponding taxonomy code that categorizes this area of expertise is 1710I1002X.
On what date did the Karlton James Bethea receive its 1700061322 assignment from the Centers for Medicare & Medicaid Services?
The Karlton James Bethea was assigned its 1700061322 by the Centers for Medicare & Medicaid Services on 2008-01-02.
As of what date were the Karlton James Bethea's details last updated?
The information pertaining to the Karlton James Bethea, including its address, specialty, and other details, was most recently updated on 2008-01-02.