Jay Russell Waite in Fallon - Independent Duty Corpsman
Jay Russell Waite - NPI 1114064789
Jay Russell Waite is a Independent Duty Corpsman in Fallon, Nevada. Jay Russell Waite practices all healthcare services and medical treatments related to Independent Duty Corpsman. The NPI Number for Jay Russell Waite is 1114064789. The last update date is 2007-07-08.
Jay Russell Waite's current location address is 733 Orchard Dr Apt A, Fallon, Nevada. You can contact this provider via phone number 7754263130 and fax number 7754263133. The mailing address for Jay Russell Waite is 733 Orchard Dr Apt A, Fallon, Nevada. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jay Russell Waite |
|---|---|
| Address | 733 Orchard Dr Apt A, Fallon, Nevada |
| Phone Number | 7754263130 |
| Fax Number | 7754263133 |
| Sole Proprietor | N |
| Credentials | IDC |
NPI Number Detail
| NPI Number | 1114064789 |
|---|---|
| Provider Enumeration Date | 2007-01-31 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 733 Orchard Dr Apt A |
|---|---|
| City | Fallon |
| State | Nevada (NV) |
| Post Code | 894066158 |
| Phone Number | 7754263130 |
| Fax Number | 7754263133 |
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 identifier code assigned to Jay Russell Waite by the Centers for Medicare & Medicaid Services?
The Jay Russell Waite has been issued the NPI (National Provider Identifier) 1114064789 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Jay Russell Waite located?
The Jay Russell Waite is located at 733 Orchard Dr Apt A, Fallon, NV 894066158.
What is Jay Russell Waite's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jay Russell Waite's area of specialization is Independent Duty Corpsman, and the corresponding taxonomy code that categorizes this field of practice is 1710I1002X.
On what date did the Centers for Medicare & Medicaid Services issue the 1114064789 to Jay Russell Waite?
The Jay Russell Waite received its 1114064789 assignment from the Centers for Medicare & Medicaid Services on 2007-01-31.
When was the information regarding Jay Russell Waite, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jay Russell Waite, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.