David Robert Johnsen in Great Lakes - Independent Duty Corpsman
David Robert Johnsen - NPI 1467420422
David Robert Johnsen is a Independent Duty Corpsman in Great Lakes, Illinois. David Robert Johnsen practices all healthcare services and medical treatments related to Independent Duty Corpsman. The NPI Number for David Robert Johnsen is 1467420422. The last update date is 2008-06-06.
David Robert Johnsen's current location address is 3001a Sixth Street, Great Lakes, Illinois. You can contact this provider via phone number 8476882469 and fax number 8476882512. The mailing address for David Robert Johnsen is 3001a Sixth Street, Great Lakes, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Robert Johnsen |
|---|---|
| Address | 3001a Sixth Street, Great Lakes, Illinois |
| Phone Number | 8476882469 |
| Fax Number | 8476882512 |
| Sole Proprietor | N |
| Credentials | NAVY IDC |
NPI Number Detail
| NPI Number | 1467420422 |
|---|---|
| Provider Enumeration Date | 2006-03-08 |
| Last Updated Date | 2008-06-06 |
Provider Mailing Address Detail
| Address | 3001a Sixth Street |
|---|---|
| City | Great Lakes |
| State | Illinois (IL) |
| Post Code | 60088 |
| Phone Number | 8476882469 |
| Fax Number | 8476882512 |
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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Post Comment/ Review Below
What is the unique identifier code issued to David Robert Johnsen by the Centers for Medicare & Medicaid Services?
The David Robert Johnsen has been assigned the NPI (National Provider Identifier) 1467420422. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where David Robert Johnsen is geographically located?
The David Robert Johnsen is physically situated at the following location: 3001A Sixth Street, Great Lakes, IL, 60088.
What is David Robert Johnsen'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 David Robert Johnsen is Independent Duty Corpsman, and the taxonomy classification code that categorizes this area of expertise is 1710I1002X.
On what date did the David Robert Johnsen receive its 1467420422 assignment from the Centers for Medicare & Medicaid Services?
The David Robert Johnsen was assigned its 1467420422 by the Centers for Medicare & Medicaid Services on 2006-03-08.
When was the information regarding David Robert Johnsen most recently updated?
The details pertaining to the David Robert Johnsen, including its address, specialty, and other relevant information, were last refreshed on 2008-06-06.