Terry D Green in San Diego - Independent Duty Corpsman

Terry D Green - NPI 1801054465

Terry D Green is a Independent Duty Corpsman in San Diego, California. Terry D Green practices all healthcare services and medical treatments related to Independent Duty Corpsman. The NPI Number for Terry D Green is 1801054465. The last update date is 2008-05-29.

Terry D Green's current location address is 34800 Bob Wilson Dr, San Diego, California. You can contact this provider via phone number 6195249356 and fax number 6195249207. The mailing address for Terry D Green is 34800 Bob Wilson Dr, San Diego, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Terry D Green
Address 34800 Bob Wilson Dr, San Diego, California
Phone Number 6195249356
Fax Number 6195249207
Sole Proprietor N
Credentials SFIDC

NPI Number Detail

NPI Number 1801054465
Provider Enumeration Date 2008-05-29
Last Updated Date 2008-05-29

Provider Mailing Address Detail

Address 34800 Bob Wilson Dr
City San Diego
State California (CA)
Post Code 921341098
Phone Number 6195249356
Fax Number 6195249207

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 Terry D Green

What is the unique identification code assigned to Terry D Green by the Centers for Medicare & Medicaid Services?

The Terry D Green has been issued the NPI (National Provider Identifier) 1801054465. This 10-digit code 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 Terry D Green's facilities are situated?

The facilities of Terry D Green are physically located at the following address: 34800 Bob Wilson Dr, San Diego, CA, 921341098.

What is Terry D Green's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

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

On what date did the Terry D Green receive the assignment of its 1801054465 from the Centers for Medicare & Medicaid Services?

The Terry D Green was issued its 1801054465 by the Centers for Medicare & Medicaid Services on 2008-05-29.

As of what date was the information regarding Terry D Green, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Terry D Green, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-05-29.

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