Jeremy Lee Simon in Camp Lejeune - Independent Duty Corpsman
Jeremy Lee Simon - NPI 1205012028
Jeremy Lee Simon is a Independent Duty Corpsman in Camp Lejeune, North Carolina. Jeremy Lee Simon practices all healthcare services and medical treatments related to Independent Duty Corpsman. The NPI Number for Jeremy Lee Simon is 1205012028. The last update date is 2008-01-10.
Jeremy Lee Simon's current location address is 100 Brewster Blvd, Camp Lejeune, North Carolina. You can contact this provider via phone number 9104518862 and fax number 9104516654. The mailing address for Jeremy Lee Simon is 100 Brewster Blvd, Camp Lejeune, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeremy Lee Simon |
|---|---|
| Address | 100 Brewster Blvd, Camp Lejeune, North Carolina |
| Phone Number | 9104518862 |
| Fax Number | 9104516654 |
| Sole Proprietor | N |
| Credentials | I.D.C. |
NPI Number Detail
| NPI Number | 1205012028 |
|---|---|
| Provider Enumeration Date | 2008-01-10 |
| Last Updated Date | 2008-01-10 |
Provider Mailing Address Detail
| Address | 100 Brewster Blvd |
|---|---|
| City | Camp Lejeune |
| State | North Carolina (NC) |
| Post Code | 285472538 |
| Phone Number | 9104518862 |
| Fax Number | 9104516654 |
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 identifier code issued to Jeremy Lee Simon by the Centers for Medicare & Medicaid Services?
The Jeremy Lee Simon has been assigned the NPI (National Provider Identifier) 1205012028. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Jeremy Lee Simon?
The Jeremy Lee Simon is situated at 100 Brewster Blvd, in the city of Camp Lejeune, state of NC, with the zip code 285472538.
What is Jeremy Lee Simon's area of expertise and its corresponding taxonomy classification?
The Jeremy Lee Simon's field of specialization is Independent Duty Corpsman, and it falls under the taxonomy code 1710I1002X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1205012028 to Jeremy Lee Simon?
The Centers for Medicare & Medicaid Services originally issued the 1205012028 to Jeremy Lee Simon on 2008-01-10.
When was the information related to Jeremy Lee Simon most recently updated or refreshed?
The details pertaining to the Jeremy Lee Simon, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-01-10.