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Jedidiah E. Johnson, HS1,IDC
Other Technician in Homer, Alaska
NPI 1114000130

Jedidiah E. Johnson is a Other Technician based in Homer, AK. Jedidiah E. Johnson practices in Homer, AK and has the professional credentials of HS1,IDC. The NPI Number for Jedidiah E. Johnson is 1114000130 and holds a License No. (Alaska).

The current practice location address for Jedidiah E. Johnson is 4688 Homer Spit Rd, Homer, AK and can be reached out via phone at 360-567-8238. You can also correspond with Jedidiah E. Johnson through the mailing address at 4688 HOMER SPIT RD, HOMER, AK - 99603 (mailing address contact number: 360-567-8238).

Location: 4688 Homer Spit Rd, Homer, AK, 99603
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114000130
Provider Name
Jedidiah E. Johnson
Credential
HS1,IDC
Provider Entity Type
Individual
Gender
Male
Address
4688 Homer Spit Rd, Homer, AK, 99603
Phone Number
360-567-8238
Fax Number
Provider Enumeration Date
10/23/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
4688 Homer Spit Rd
City
Homer
State
Alaska
Zip
99603-8001
Phone Number
360-567-8238
Fax Number
person
Provider Business Mailing Address Details
Address
4688 Homer Spit Rd
City
Homer
State
Alaska
Zip
99603-8001
Phone Number
360-567-8238
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
Technologists, Technicians & Other Technical Service Providers
Classification
Technician, Other
Speciality
-
Taxonomy
247200000X
License No.
(California)
Definition
A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.
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