Shane A. Walter in Poulsbo - Independent Duty Corpsman
Shane A. Walter - NPI 1316915309
Shane A. Walter is a Independent Duty Corpsman in Poulsbo, Washington. Shane A. Walter practices all healthcare services and medical treatments related to Independent Duty Corpsman. The NPI Number for Shane A. Walter is 1316915309. The last update date is 2007-07-08.
Shane A. Walter's current location address is 790 Ne Shorewood Ct, Poulsbo, Washington. You can contact this provider via phone number 3605985312. The mailing address for Shane A. Walter is 790 Ne Shorewood Ct, Poulsbo, Washington. To know further, please read the information below!
Provider Profile Detail
Provider Name | Shane A. Walter |
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Address | 790 Ne Shorewood Ct, Poulsbo, Washington |
Phone Number | 3605985312 |
Fax Number | |
Sole Proprietor | X |
Credentials | IDC |
NPI Number Detail
NPI Number | 1316915309 |
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Provider Enumeration Date | 2006-03-08 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 790 Ne Shorewood Ct |
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City | Poulsbo |
State | Washington (WA) |
Post Code | 983708436 |
Phone Number | 3605985312 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Independent Duty Corpsman |
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Taxonomy | 1710I1002X |
Licence No | 0I1002X171 |
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 Shane A. Walter by the Centers for Medicare & Medicaid Services?
The Shane A. Walter has been issued the NPI (National Provider Identifier) 1316915309 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Shane A. Walter?
The Shane A. Walter is physically situated at 790 Ne Shorewood Ct, in the city of Poulsbo, state of WA, with the postal code 983708436.
What is the Shane A. Walter's specialty and taxonomy code?
The Shane A. Walter's specialty is Independent Duty Corpsman, and the corresponding taxonomy code is 1710I1002X.
On what date was the 1316915309 assigned to Shane A. Walter?
The Shane A. Walter was issued its 1316915309 on 2006-03-08, 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 related to Shane A. Walter most recently updated or revised?
The information pertaining to Shane A. Walter, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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