Michael Alan Gwinn in Silverdale - Independent Duty Corpsman
Michael Alan Gwinn - NPI 1043490964
Michael Alan Gwinn is a Independent Duty Corpsman in Silverdale, Washington. Michael Alan Gwinn practices all healthcare services and medical treatments related to Independent Duty Corpsman. The NPI Number for Michael Alan Gwinn is 1043490964. The last update date is 2015-02-19.
Michael Alan Gwinn's current location address is 2050 Barb St Ste A, Silverdale, Washington. You can contact this provider via phone number 3603154346. The mailing address for Michael Alan Gwinn is 2050 Barb St Ste A, Silverdale, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Alan Gwinn |
|---|---|
| Address | 2050 Barb St Ste A, Silverdale, Washington |
| Phone Number | 3603154346 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | IDC |
NPI Number Detail
| NPI Number | 1043490964 |
|---|---|
| Provider Enumeration Date | 2007-11-08 |
| Last Updated Date | 2015-02-19 |
Provider Mailing Address Detail
| Address | 2050 Barb St Ste A |
|---|---|
| City | Silverdale |
| State | Washington (WA) |
| Post Code | 983152050 |
| Phone Number | 3603154346 |
| 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 provider identifier assigned to Michael Alan Gwinn?
The Michael Alan Gwinn has been issued the NPI (National Provider Identifier) 1043490964 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Michael Alan Gwinn located?
The Michael Alan Gwinn is located at 2050 Barb St Ste A, Silverdale, WA 983152050.
What is the Michael Alan Gwinn's area of specialization and corresponding taxonomy classification?
The Michael Alan Gwinn's specialty field is Independent Duty Corpsman, and it falls under the taxonomy code 1710I1002X, which categorizes healthcare providers based on their specialties.
On what date was the 1043490964 assigned to Michael Alan Gwinn?
The Michael Alan Gwinn was issued its 1043490964 on 2007-11-08, 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 Michael Alan Gwinn most recently updated or revised?
The information pertaining to Michael Alan Gwinn, including its address, specialty, and other relevant details, was last updated or revised on 2015-02-19.
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