Rodger M Howard in Great Lakes - Independent Duty Corpsman
Rodger M Howard - NPI 1205804242
Rodger M Howard is a Independent Duty Corpsman in Great Lakes, Illinois. Rodger M Howard practices all healthcare services and medical treatments related to Independent Duty Corpsman. The NPI Number for Rodger M Howard is 1205804242. The last update date is 2007-07-08.
Rodger M Howard's current location address is 3420 Illinois Street Bldg 1007, Great Lakes, Illinois. You can contact this provider via phone number 8476886755. The mailing address for Rodger M Howard is 3420 Illinois Street Bldg 1007, Great Lakes, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Rodger M Howard |
|---|---|
| Address | 3420 Illinois Street Bldg 1007, Great Lakes, Illinois |
| Phone Number | 8476886755 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | IDC |
NPI Number Detail
| NPI Number | 1205804242 |
|---|---|
| Provider Enumeration Date | 2006-03-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3420 Illinois Street Bldg 1007 |
|---|---|
| City | Great Lakes |
| State | Illinois (IL) |
| Post Code | 60088 |
| Phone Number | 8476886755 |
| 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 unique identification code assigned to Rodger M Howard by the Centers for Medicare & Medicaid Services?
The Rodger M Howard has been issued the NPI (National Provider Identifier) 1205804242. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Rodger M Howard's facilities are geographically located?
The facilities of Rodger M Howard are physically situated at the following location: 3420 Illinois Street Bldg 1007, Great Lakes, IL, 60088.
What is Rodger M Howard's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Rodger M Howard is Independent Duty Corpsman, and the taxonomy code that classifies this field of practice is 1710I1002X.
On what date was the 1205804242 assigned to Rodger M Howard?
The Rodger M Howard was issued its 1205804242 on 2006-03-08, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Rodger M Howard last refreshed?
The information related to the Rodger M Howard, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
NPI Number: 1932102142
Address: St. Jude Children's Research Hospital, Memphis, TN