Elliott Spencer Keck in Virginia Beach - Independent Duty Corpsman
Elliott Spencer Keck - NPI 1255536785
Elliott Spencer Keck is a Independent Duty Corpsman in Virginia Beach, Virginia. Elliott Spencer Keck practices all healthcare services and medical treatments related to Independent Duty Corpsman. The NPI Number for Elliott Spencer Keck is 1255536785. The last update date is 2012-07-18.
Elliott Spencer Keck's current location address is 1550 Tomcat Blvd Ste 150, Virginia Beach, Virginia. You can contact this provider via phone number 7579533792. The mailing address for Elliott Spencer Keck is 1550 Tomcat Blvd Ste 150, Virginia Beach, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Elliott Spencer Keck |
|---|---|
| Address | 1550 Tomcat Blvd Ste 150, Virginia Beach, Virginia |
| Phone Number | 7579533792 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | IDC |
NPI Number Detail
| NPI Number | 1255536785 |
|---|---|
| Provider Enumeration Date | 2007-06-15 |
| Last Updated Date | 2012-07-18 |
Provider Mailing Address Detail
| Address | 1550 Tomcat Blvd Ste 150 |
|---|---|
| City | Virginia Beach |
| State | Virginia (VA) |
| Post Code | 234602186 |
| Phone Number | 7579533792 |
| 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 assigned to Elliott Spencer Keck by the Centers for Medicare & Medicaid Services?
The Elliott Spencer Keck has been issued the NPI (National Provider Identifier) 1255536785, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Elliott Spencer Keck located?
The Elliott Spencer Keck is located at 1550 Tomcat Blvd Ste 150, Virginia Beach, VA 234602186.
What is the Elliott Spencer Keck's area of specialization and corresponding taxonomy classification?
The Elliott Spencer Keck'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 1255536785 assigned to Elliott Spencer Keck?
The Elliott Spencer Keck was issued its 1255536785 on 2007-06-15, 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 Elliott Spencer Keck most recently updated or revised?
The information pertaining to Elliott Spencer Keck, including its address, specialty, and other relevant details, was last updated or revised on 2012-07-18.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC