Eric Windsor Larson in Saint Marys - Independent Duty Corpsman
Eric Windsor Larson - NPI 1578592838
Eric Windsor Larson is a Independent Duty Corpsman in Saint Marys, Georgia. Eric Windsor Larson practices all healthcare services and medical treatments related to Independent Duty Corpsman. The NPI Number for Eric Windsor Larson is 1578592838. The last update date is 2008-09-19.
Eric Windsor Larson's current location address is 117 Bettinger Pl, Saint Marys, Georgia. You can contact this provider via phone number 9125761541. The mailing address for Eric Windsor Larson is 117 Bettinger Pl, Saint Marys, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Eric Windsor Larson |
|---|---|
| Address | 117 Bettinger Pl, Saint Marys, Georgia |
| Phone Number | 9125761541 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | SUBMARINE |
NPI Number Detail
| NPI Number | 1578592838 |
|---|---|
| Provider Enumeration Date | 2006-06-30 |
| Last Updated Date | 2008-09-19 |
Provider Mailing Address Detail
| Address | 117 Bettinger Pl |
|---|---|
| City | Saint Marys |
| State | Georgia (GA) |
| Post Code | 315584665 |
| Phone Number | 9125761541 |
| 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 10-digit identification code issued to Eric Windsor Larson by the Centers for Medicare & Medicaid Services?
The Eric Windsor Larson has been assigned the NPI (National Provider Identifier) 1578592838 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Eric Windsor Larson's physical address?
The Eric Windsor Larson is physically located at 117 Bettinger Pl, in the city of Saint Marys, GA, with the postal code 315584665.
What is Eric Windsor Larson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Eric Windsor Larson's area of specialization is Independent Duty Corpsman, and the corresponding taxonomy code that categorizes this field of practice is 1710I1002X.
On what date did the Centers for Medicare & Medicaid Services assign the 1578592838 to Eric Windsor Larson?
The Centers for Medicare & Medicaid Services assigned the 1578592838 to Eric Windsor Larson on 2006-06-30.
As of what date were the details pertaining to Eric Windsor Larson last refreshed?
The information related to the Eric Windsor Larson, including its address, specialty, and other relevant details, was last updated on 2008-09-19.