Jerry M Smith in Port Hueneme - Independent Duty Corpsman

Jerry M Smith - NPI 1659460590

Jerry M Smith is a Independent Duty Corpsman in Port Hueneme, California. Jerry M Smith practices all healthcare services and medical treatments related to Independent Duty Corpsman. The NPI Number for Jerry M Smith is 1659460590. The last update date is 2007-07-08.

Jerry M Smith's current location address is 4643 Dock Rd, Port Hueneme, California. You can contact this provider via phone number 8059822411. The mailing address for Jerry M Smith is 4643 Dock Rd, Port Hueneme, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Jerry M Smith
Address 4643 Dock Rd, Port Hueneme, California
Phone Number 8059822411
Fax Number
Sole Proprietor N
Credentials IDC

NPI Number Detail

NPI Number 1659460590
Provider Enumeration Date 2006-10-11
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 4643 Dock Rd
City Port Hueneme
State California (CA)
Post Code 930434321
Phone Number 8059822411
Fax Number

Provider's Primary Taxonomy Detail

Speciality Independent Duty Corpsman
Taxonomy 1710I1002X
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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FAQs about Jerry M Smith

What is the unique 10-digit identifier code issued to Jerry M Smith by the Centers for Medicare & Medicaid Services?

The Jerry M Smith has been assigned the NPI (National Provider Identifier) 1659460590 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete address where Jerry M Smith is physically located?

The Jerry M Smith is situated at the following address: 4643 Dock Rd, Port Hueneme, CA 930434321.

What is Jerry M Smith's specialized field of practice, and what is the corresponding taxonomy classification code?

The Jerry M Smith's area of specialization is Independent Duty Corpsman, and the corresponding taxonomy code that categorizes this field of practice is 1710I1002X.

What is Jerry M Smith's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Jerry M Smith is Independent Duty Corpsman, and the corresponding taxonomy classification code for this specialized field is 1710I1002X.

As of what date was the information pertaining to Jerry M Smith, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Jerry M Smith, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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