Russell Lee Short in Wilmington - Independent Duty Corpsman
Russell Lee Short - NPI 1336355239
Russell Lee Short is a Independent Duty Corpsman in Wilmington, North Carolina. Russell Lee Short practices all healthcare services and medical treatments related to Independent Duty Corpsman. The NPI Number for Russell Lee Short is 1336355239. The last update date is 2007-07-08.
Russell Lee Short's current location address is 7513 Brittany Lakes Dr, Wilmington, North Carolina. You can contact this provider via phone number 9105415341. The mailing address for Russell Lee Short is 7513 Brittany Lakes Dr, Wilmington, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Russell Lee Short |
|---|---|
| Address | 7513 Brittany Lakes Dr, Wilmington, North Carolina |
| Phone Number | 9105415341 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | IDC |
NPI Number Detail
| NPI Number | 1336355239 |
|---|---|
| Provider Enumeration Date | 2007-05-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 7513 Brittany Lakes Dr |
|---|---|
| City | Wilmington |
| State | North Carolina (NC) |
| Post Code | 28411 |
| Phone Number | 9105415341 |
| 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 Russell Lee Short's unique identification number?
The Russell Lee Short has been assigned the NPI (National Provider Identifier) Number 1336355239 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Russell Lee Short's physical address?
The Russell Lee Short is physically located at 7513 Brittany Lakes Dr, in the city of Wilmington, NC, with the postal code 28411.
What is Russell Lee Short's area of expertise and its corresponding taxonomy classification?
The Russell Lee Short's field of specialization is Independent Duty Corpsman, and it falls under the taxonomy code 1710I1002X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1336355239 to Russell Lee Short?
The Centers for Medicare & Medicaid Services originally issued the 1336355239 to Russell Lee Short on 2007-05-15.
When was the information regarding Russell Lee Short, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Russell Lee Short, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
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