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Ellis Alan Eid, IDC
Independent Duty Corpsman in Fpo, N/A
NPI 1104544089

Ellis Alan Eid is a Independent Duty Corpsman based in San Diego, and is specialized in Independent Duty Corpsman. Ellis Alan Eid practices in Fpo, and has the professional credentials of IDC. The NPI Number for Ellis Alan Eid is 1104544089 and holds a License No. (N/A).

The current practice location address for Ellis Alan Eid is Uss George Washington, Fpo, and can be reached out via phone at 757-534-3448.

Location: Uss George Washington, Fpo, , 92134-7000
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104544089
Provider Name
Ellis Alan Eid
Credential
IDC
Provider Entity Type
Individual
Gender
Male
Address
Uss George Washington, Fpo, , 92134-7000
Phone Number
757-534-3448
Fax Number
Provider Enumeration Date
08/17/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1122592096 01 DODID
institution
Provider Business Practice Location Address Details
Address
Uss George Washington
City
Fpo
State
Zip
09550-2873
Phone Number
757-534-3448
Fax Number
person
Provider Business Mailing Address Details
Address
Uss George Washington
City
Fpo
State
Zip
09550-2873
Phone Number
757-534-3448
Fax Number
person
Provider's Taxonomy Details 1
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.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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