Jake Garrett Theobald - San Diego, CA

Jake Garrett Theobald

Independent Duty Corpsman in San Diego, California

NPI 1053994327

Jake Garrett Theobald is a Independent Duty Corpsman based in Richlands, CA and is specialized in Independent Duty Corpsman. Jake Garrett Theobald practices in San Diego, CA. The NPI Number for Jake Garrett Theobald is 1053994327 and holds a License No. (California).

The current practice location address for Jake Garrett Theobald is 34101 Farenholt Ave, San Diego, CA and can be reached out via phone at 619-532-7968.

Location: 34101 Farenholt Ave, San Diego, CA, 28574-6404

NPI Number

1053994327

Provider Name

Jake Garrett Theobald

Credential

Provider Entity Type

Individual

Gender

Male

Address

34101 Farenholt Ave, San Diego, CA, 28574-6404

Phone Number

619-532-7968

Fax Number

Provider Enumeration Date

05/04/2021

Last Update Date

03/10/2024

Address

34101 Farenholt Ave

City

San Diego

State

California

Zip

92134-7000

Phone Number

619-532-7968

Fax Number

Address

34101 Farenholt Ave

City

San Diego

State

California

Zip

92134-7000

Phone Number

619-532-7968

Fax Number

Type

Other Service Providers

Classification

Military Health Care Provider

Speciality

Independent Duty Corpsman

Taxonomy

1710I1002X

License No.

()

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 variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.

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