Ehren Lietz in San Diego - Independent Duty Corpsman
Ehren Lietz - NPI 1073773800
Ehren Lietz is a Independent Duty Corpsman in San Diego, California. Ehren Lietz practices all healthcare services and medical treatments related to Independent Duty Corpsman. The NPI Number for Ehren Lietz is 1073773800. The last update date is 2008-06-16.
Ehren Lietz's current location address is 35000 Guadalcanal Ave, San Diego, California. You can contact this provider via phone number 6195248397. The mailing address for Ehren Lietz is 35000 Guadalcanal Ave, San Diego, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ehren Lietz |
|---|---|
| Address | 35000 Guadalcanal Ave, San Diego, California |
| Phone Number | 6195248397 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | IDC |
NPI Number Detail
| NPI Number | 1073773800 |
|---|---|
| Provider Enumeration Date | 2008-06-16 |
| Last Updated Date | 2008-06-16 |
Provider Mailing Address Detail
| Address | 35000 Guadalcanal Ave |
|---|---|
| City | San Diego |
| State | California (CA) |
| Post Code | 921405599 |
| Phone Number | 6195248397 |
| 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 |
|---|---|---|---|
| IDC | IDC |
Post Comment/ Review Below
What is the unique identifier code issued to Ehren Lietz by the Centers for Medicare & Medicaid Services (CMS)?
The Ehren Lietz has been assigned the NPI (National Provider Identifier) 1073773800. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Ehren Lietz's physical address?
The Ehren Lietz is physically located at 35000 Guadalcanal Ave, in the city of San Diego, CA, with the postal code 921405599.
What is Ehren Lietz's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Ehren Lietz is Independent Duty Corpsman, and the corresponding taxonomy classification code for this specialized field is 1710I1002X.
On what date did the Centers for Medicare & Medicaid Services issue the 1073773800 to Ehren Lietz?
The Ehren Lietz received its 1073773800 assignment from the Centers for Medicare & Medicaid Services on 2008-06-16.
As of what date were the details pertaining to Ehren Lietz last refreshed?
The information related to the Ehren Lietz, including its address, specialty, and other relevant details, was last updated on 2008-06-16.