Michael Owen Congdon in Beaufort - Independent Duty Corpsman
Michael Owen Congdon - NPI 1588690465
Michael Owen Congdon is a Independent Duty Corpsman in Beaufort, South Carolina. Michael Owen Congdon practices all healthcare services and medical treatments related to Independent Duty Corpsman. The NPI Number for Michael Owen Congdon is 1588690465. The last update date is 2007-07-08.
Michael Owen Congdon's current location address is 50 Telfair Dr, Beaufort, South Carolina. You can contact this provider via phone number 8433795195. The mailing address for Michael Owen Congdon is 50 Telfair Dr, Beaufort, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Owen Congdon |
|---|---|
| Address | 50 Telfair Dr, Beaufort, South Carolina |
| Phone Number | 8433795195 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | IDC |
NPI Number Detail
| NPI Number | 1588690465 |
|---|---|
| Provider Enumeration Date | 2006-06-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 50 Telfair Dr |
|---|---|
| City | Beaufort |
| State | South Carolina (SC) |
| Post Code | 299071349 |
| Phone Number | 8433795195 |
| 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 identifier code issued to Michael Owen Congdon by the Centers for Medicare & Medicaid Services?
The Michael Owen Congdon has been assigned the NPI (National Provider Identifier) 1588690465. 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 provide the complete physical location address of Michael Owen Congdon?
The Michael Owen Congdon is physically situated at 50 Telfair Dr, in the city of Beaufort, state of SC, with the postal code 299071349.
What is Michael Owen Congdon'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 Michael Owen Congdon is Independent Duty Corpsman, and the taxonomy classification code that categorizes this area of expertise is 1710I1002X.
On what date did the Michael Owen Congdon receive the assignment of its 1588690465 from the Centers for Medicare & Medicaid Services?
The Michael Owen Congdon was issued its 1588690465 by the Centers for Medicare & Medicaid Services on 2006-06-23.
When was the information regarding Michael Owen Congdon most recently updated?
The details pertaining to the Michael Owen Congdon, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
NPI Number: 1215930425
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