Timothy Wayne Sefa in San Diego - Independent Duty Corpsman
Timothy Wayne Sefa - NPI 1851587075
Timothy Wayne Sefa is a Independent Duty Corpsman in San Diego, California. Timothy Wayne Sefa practices all healthcare services and medical treatments related to Independent Duty Corpsman. The NPI Number for Timothy Wayne Sefa is 1851587075. The last update date is 2007-09-20.
Timothy Wayne Sefa's current location address is 10264 Waddell Cir, San Diego, California. You can contact this provider via phone number 8585717402. The mailing address for Timothy Wayne Sefa is 10264 Waddell Cir, San Diego, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Timothy Wayne Sefa |
|---|---|
| Address | 10264 Waddell Cir, San Diego, California |
| Phone Number | 8585717402 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | IDC |
NPI Number Detail
| NPI Number | 1851587075 |
|---|---|
| Provider Enumeration Date | 2007-09-20 |
| Last Updated Date | 2007-09-20 |
Provider Mailing Address Detail
| Address | 10264 Waddell Cir |
|---|---|
| City | San Diego |
| State | California (CA) |
| Post Code | 921242934 |
| Phone Number | 8585717402 |
| 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 Timothy Wayne Sefa's 1851587075?
The Timothy Wayne Sefa's NPI (National Provider Identifier) Number is 1851587075. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Timothy Wayne Sefa's physical address?
The Timothy Wayne Sefa is physically located at 10264 Waddell Cir, in the city of San Diego, CA, with the postal code 921242934.
What is Timothy Wayne Sefa's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Timothy Wayne Sefa's specialized field of practice is Independent Duty Corpsman, and the corresponding taxonomy code that categorizes this area of specialization is 1710I1002X.
On what date did the Centers for Medicare & Medicaid Services assign the 1851587075 to Timothy Wayne Sefa?
The Centers for Medicare & Medicaid Services assigned the 1851587075 to Timothy Wayne Sefa on 2007-09-20.
As of what date were the details related to Timothy Wayne Sefa most recently updated or revised?
The information pertaining to Timothy Wayne Sefa, including its address, specialty, and other relevant details, was last updated or revised on 2007-09-20.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC