Michael Clark in Menifee - Independent Duty Corpsman
Michael Clark - NPI 1376751917
Michael Clark is a Independent Duty Corpsman in Menifee, California. Michael Clark practices all healthcare services and medical treatments related to Independent Duty Corpsman. The NPI Number for Michael Clark is 1376751917. The last update date is 2008-02-01.
Michael Clark's current location address is 25106 Corn Field Ct, Menifee, California. You can contact this provider via phone number 9516793324. The mailing address for Michael Clark is 25106 Corn Field Ct, Menifee, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Clark |
|---|---|
| Address | 25106 Corn Field Ct, Menifee, California |
| Phone Number | 9516793324 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1376751917 |
|---|---|
| Provider Enumeration Date | 2007-05-18 |
| Last Updated Date | 2008-02-01 |
Provider Mailing Address Detail
| Address | 25106 Corn Field Ct |
|---|---|
| City | Menifee |
| State | California (CA) |
| Post Code | 925848562 |
| Phone Number | 9516793324 |
| 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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Post Comment/ Review Below
What is the unique provider identifier assigned to Michael Clark?
The Michael Clark has been issued the NPI (National Provider Identifier) 1376751917 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Michael Clark is located?
The Michael Clark is situated at the following address: 25106 Corn Field Ct, Menifee, CA, 925848562.
What is Michael Clark's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Michael Clark is Independent Duty Corpsman, and the taxonomy code that categorizes this field of expertise is 1710I1002X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1376751917 to Michael Clark?
The Centers for Medicare & Medicaid Services originally issued the 1376751917 to Michael Clark on 2007-05-18.
When was the information pertaining to Michael Clark most recently updated or revised?
The details related to Michael Clark, including its address, specialty, and other relevant information, were last updated or revised on 2008-02-01.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC