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Jacob Johnson, SOIDC
Independent Duty Corpsman in Holly Ridge, North Carolina
NPI 1588273999

Jacob Johnson is a Independent Duty Corpsman based in Holly Ridge, NC and is specialized in Independent Duty Corpsman. Jacob Johnson practices in Holly Ridge, NC and has the professional credentials of SOIDC. The NPI Number for Jacob Johnson is 1588273999 and holds a License No. (North Carolina).

The current practice location address for Jacob Johnson is 413 Salvo Ct, Holly Ridge, NC and can be reached out via phone at 573-201-6504.

Location: 413 Salvo Ct, Holly Ridge, NC, 28445-8609
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588273999
Provider Name
Jacob Johnson
Credential
SOIDC
Provider Entity Type
Individual
Gender
Male
Address
413 Salvo Ct, Holly Ridge, NC, 28445-8609
Phone Number
573-201-6504
Fax Number
Provider Enumeration Date
07/31/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
413 Salvo Ct
City
Holly Ridge
State
North Carolina
Zip
28445-8609
Phone Number
573-201-6504
Fax Number
person
Provider Business Mailing Address Details
Address
413 Salvo Ct
City
Holly Ridge
State
North Carolina
Zip
28445-8609
Phone Number
573-201-6504
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.
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