Wayne Carleton Johnson in Twentynine Palms - Independent Duty Corpsman
Wayne Carleton Johnson - NPI 1639147697
Wayne Carleton Johnson is a Independent Duty Corpsman in Twentynine Palms, California. Wayne Carleton Johnson practices all healthcare services and medical treatments related to Independent Duty Corpsman. The NPI Number for Wayne Carleton Johnson is 1639147697. The last update date is 2007-07-08.
Wayne Carleton Johnson's current location address is Naval Hospital, Twentynine Palms, California. You can contact this provider via phone number 7608302677 and fax number 7608302601. The mailing address for Wayne Carleton Johnson is Naval Hospital, Twentynine Palms, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wayne Carleton Johnson |
|---|---|
| Address | Naval Hospital, Twentynine Palms, California |
| Phone Number | 7608302677 |
| Fax Number | 7608302601 |
| Sole Proprietor | X |
| Credentials | IDC |
NPI Number Detail
| NPI Number | 1639147697 |
|---|---|
| Provider Enumeration Date | 2006-03-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Naval Hospital |
|---|---|
| City | Twentynine Palms |
| State | California (CA) |
| Post Code | 922788250 |
| Phone Number | 7608302677 |
| Fax Number | 7608302601 |
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 Wayne Carleton Johnson's 1639147697?
The Wayne Carleton Johnson's NPI (National Provider Identifier) Number is 1639147697. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Wayne Carleton Johnson's facilities are geographically located?
The facilities of Wayne Carleton Johnson are physically situated at the following location: Naval Hospital, Twentynine Palms, CA, 922788250.
What is Wayne Carleton Johnson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Wayne Carleton Johnson is Independent Duty Corpsman, and the taxonomy classification code that categorizes this area of expertise is 1710I1002X.
On what date did the Centers for Medicare & Medicaid Services issue the 1639147697 to Wayne Carleton Johnson?
The Wayne Carleton Johnson received its 1639147697 assignment from the Centers for Medicare & Medicaid Services on 2006-03-08.
As of what date were the details pertaining to Wayne Carleton Johnson last refreshed?
The information related to the Wayne Carleton Johnson, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
NPI Number: 1215930425
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