Scott David Egdorf in Camp Lejeune - Independent Duty Corpsman
Scott David Egdorf - NPI 1508042391
Scott David Egdorf is a Independent Duty Corpsman in Camp Lejeune, North Carolina. Scott David Egdorf practices all healthcare services and medical treatments related to Independent Duty Corpsman. The NPI Number for Scott David Egdorf is 1508042391. The last update date is 2008-01-11.
Scott David Egdorf's current location address is 100 Brewster Blvd, Camp Lejeune, North Carolina. You can contact this provider via phone number 9104515125. The mailing address for Scott David Egdorf is 100 Brewster Blvd, Camp Lejeune, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Scott David Egdorf |
|---|---|
| Address | 100 Brewster Blvd, Camp Lejeune, North Carolina |
| Phone Number | 9104515125 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | IDC |
NPI Number Detail
| NPI Number | 1508042391 |
|---|---|
| Provider Enumeration Date | 2008-01-11 |
| Last Updated Date | 2008-01-11 |
Provider Mailing Address Detail
| Address | 100 Brewster Blvd |
|---|---|
| City | Camp Lejeune |
| State | North Carolina (NC) |
| Post Code | 285472538 |
| Phone Number | 9104515125 |
| 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 10-digit identification code assigned to Scott David Egdorf by the Centers for Medicare & Medicaid Services?
The Scott David Egdorf has been issued the NPI (National Provider Identifier) 1508042391, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Scott David Egdorf is located?
The Scott David Egdorf is situated at the following address: 100 Brewster Blvd, Camp Lejeune, NC, 285472538.
What is Scott David Egdorf's area of expertise and its corresponding taxonomy classification?
The Scott David Egdorf'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 Scott David Egdorf receive the assignment of its 1508042391 from the Centers for Medicare & Medicaid Services?
The Scott David Egdorf was issued its 1508042391 by the Centers for Medicare & Medicaid Services on 2008-01-11.
When was the information pertaining to Scott David Egdorf most recently updated or revised?
The details related to Scott David Egdorf, including its address, specialty, and other relevant information, were last updated or revised on 2008-01-11.
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