Joseph Thomas Minich in Great Lakes - Independent Duty Corpsman

Joseph Thomas Minich - NPI 1346454808

Joseph Thomas Minich is a Independent Duty Corpsman in Great Lakes, Illinois. Joseph Thomas Minich practices all healthcare services and medical treatments related to Independent Duty Corpsman. The NPI Number for Joseph Thomas Minich is 1346454808. The last update date is 2007-07-08.

Joseph Thomas Minich's current location address is 2410 Sampson St Bldg 237, Great Lakes, Illinois. You can contact this provider via phone number 8476882469. The mailing address for Joseph Thomas Minich is 2410 Sampson St Bldg 237, Great Lakes, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Joseph Thomas Minich
Address 2410 Sampson St Bldg 237, Great Lakes, Illinois
Phone Number 8476882469
Fax Number
Sole Proprietor N
Credentials OTHER

NPI Number Detail

NPI Number 1346454808
Provider Enumeration Date 2007-05-10
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2410 Sampson St Bldg 237
City Great Lakes
State Illinois (IL)
Post Code 600882942
Phone Number 8476882469
Fax Number

Provider's Primary Taxonomy Detail

Speciality Independent Duty Corpsman
Taxonomy 1710I1002X
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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FAQs about Joseph Thomas Minich

What is the Joseph Thomas Minich's unique identification number?

The Joseph Thomas Minich has been assigned the NPI (National Provider Identifier) Number 1346454808 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you kindly provide the complete physical address where Joseph Thomas Minich's facilities are geographically located?

The facilities of Joseph Thomas Minich are physically situated at the following location: 2410 Sampson St Bldg 237, Great Lakes, IL, 600882942.

What is Joseph Thomas Minich's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Joseph Thomas Minich is Independent Duty Corpsman, and the taxonomy classification code that categorizes this area of expertise is 1710I1002X.

On what date did the Centers for Medicare & Medicaid Services assign the 1346454808 to Joseph Thomas Minich?

The Centers for Medicare & Medicaid Services assigned the 1346454808 to Joseph Thomas Minich on 2007-05-10.

As of what date was the information regarding Joseph Thomas Minich, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Joseph Thomas Minich, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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