Edward Nmn Goldsborough in Great Lakes - Independent Duty Corpsman
Edward Nmn Goldsborough - NPI 1053511394
Edward Nmn Goldsborough is a Independent Duty Corpsman in Great Lakes, Illinois. Edward Nmn Goldsborough practices all healthcare services and medical treatments related to Independent Duty Corpsman. The NPI Number for Edward Nmn Goldsborough is 1053511394. The last update date is 2007-07-24.
Edward Nmn Goldsborough's current location address is 3001 A 6th St, Great Lakes, Illinois. You can contact this provider via phone number 8476884560. The mailing address for Edward Nmn Goldsborough is 3001 A 6th St, Great Lakes, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edward Nmn Goldsborough |
|---|---|
| Address | 3001 A 6th St, Great Lakes, Illinois |
| Phone Number | 8476884560 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | IDC |
NPI Number Detail
| NPI Number | 1053511394 |
|---|---|
| Provider Enumeration Date | 2007-07-24 |
| Last Updated Date | 2007-07-24 |
Provider Mailing Address Detail
| Address | 3001 A 6th St |
|---|---|
| City | Great Lakes |
| State | Illinois (IL) |
| Post Code | 60088 |
| Phone Number | 8476884560 |
| 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 10-digit identification code issued to Edward Nmn Goldsborough by the Centers for Medicare & Medicaid Services?
The Edward Nmn Goldsborough has been assigned the NPI (National Provider Identifier) 1053511394 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Edward Nmn Goldsborough located?
The Edward Nmn Goldsborough is located at 3001 A 6Th St, Great Lakes, IL 60088.
What is Edward Nmn Goldsborough's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Edward Nmn Goldsborough is Independent Duty Corpsman, and the taxonomy code that categorizes this field of expertise is 1710I1002X.
On what date did Edward Nmn Goldsborough receive its 1053511394 assignment from the Centers for Medicare & Medicaid Services?
The Edward Nmn Goldsborough was assigned its 1053511394 on 2007-07-24, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Edward Nmn Goldsborough's details last updated?
The information pertaining to the Edward Nmn Goldsborough, including its address, specialty, and other details, was most recently updated on 2007-07-24.
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