Chaddrick Lendon Jack in Corpus Christi - Independent Duty Corpsman
Chaddrick Lendon Jack - NPI 1922068246
Chaddrick Lendon Jack is a Independent Duty Corpsman in Corpus Christi, Texas. Chaddrick Lendon Jack practices all healthcare services and medical treatments related to Independent Duty Corpsman. The NPI Number for Chaddrick Lendon Jack is 1922068246. The last update date is 2008-02-06.
Chaddrick Lendon Jack's current location address is 10651 E St, Corpus Christi, Texas. You can contact this provider via phone number 3619612688. The mailing address for Chaddrick Lendon Jack is 10651 E St, Corpus Christi, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Chaddrick Lendon Jack |
|---|---|
| Address | 10651 E St, Corpus Christi, Texas |
| Phone Number | 3619612688 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1922068246 |
|---|---|
| Provider Enumeration Date | 2006-03-23 |
| Last Updated Date | 2008-02-06 |
Provider Mailing Address Detail
| Address | 10651 E St |
|---|---|
| City | Corpus Christi |
| State | Texas (TX) |
| Post Code | 784195130 |
| Phone Number | 3619612688 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Independent Duty Corpsman |
|---|---|
| Taxonomy | 1710I1002X |
| Licence No | 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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1710I1002X | TX | INDEPENDENT DUTY CORPSMAN |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Chaddrick Lendon Jack by the Centers for Medicare & Medicaid Services?
The Chaddrick Lendon Jack has been assigned the NPI (National Provider Identifier) 1922068246 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Chaddrick Lendon Jack's physical address?
The Chaddrick Lendon Jack is physically located at 10651 E St, in the city of Corpus Christi, TX, with the postal code 784195130.
What is Chaddrick Lendon Jack's specialized field of practice, and what is the corresponding taxonomy classification code?
The Chaddrick Lendon Jack's area of specialization is Independent Duty Corpsman, and the corresponding taxonomy code that categorizes this field of practice is 1710I1002X.
On what date was the 1922068246 assigned to Chaddrick Lendon Jack?
The Chaddrick Lendon Jack was issued its 1922068246 on 2006-03-23, 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 Chaddrick Lendon Jack last refreshed?
The information related to the Chaddrick Lendon Jack, including its address, specialty, and other relevant details, was last updated on 2008-02-06.