Active NPIIndividual provider

Andrew D Whitbeck, IDC

Military Health Care Provider, Independent Duty Corpsman in Groton, Connecticut

NPI Number1710674841
Practice location
1 Wahoo Ave Bldg 449, Groton, CT 06349-2324
Fax
—
Last updated
October 15, 2026

Andrew D Whitbeck is a Military Health Care Provider, Independent Duty Corpsman based in Groton, CT. Andrew D Whitbeck practices in Groton, CT and has the professional credentials of IDC. The NPI Number for Andrew D Whitbeck is 1710674841 and holds a License No. 1710674841 (CT). The current practice location address for Andrew D Whitbeck is 1 Wahoo Ave Bldg 449, Groton, CT 06349-2324 and can be reached out via phone at 860-694-4897.

Provider Profile Details

NPI Number
1710674841
Provider Name
Andrew D Whitbeck
Credential
IDC
Provider Entity Type
Individual
Gender
Male
Address
1 Wahoo Ave Bldg 449, Groton, CT 06349-2324
Phone Number
860-694-4897
Sole Proprietor
No
Provider Enumeration Date
April 19, 2023
Last Update Date
October 15, 2026
Certification Date
October 15, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Wahoo Ave Bldg 449
Groton, CT 06349-2324
City
Groton
Zip
06349-2324
Phone Number
860-694-4897
Groton, CT 06349Get directions →

Provider Business Mailing Address Details

Address
1 Wahoo Ave Bldg 449
Groton, CT 06349-2324
City
Groton
State
CT
Zip
06349-2324
Phone Number
860-694-4897

License Information

License Number
1710674841
License State
CT

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Andrew D Whitbeck, IDC?

The NPI number of Andrew D Whitbeck, IDC is 1710674841. It was assigned on April 19, 2023 and is currently active in the NPPES registry.

What is the specialty of Andrew D Whitbeck, IDC?

Andrew D Whitbeck, IDC is registered under the primary taxonomy Military Health Care Provider, Independent Duty Corpsman (code 1710I1002X), licensed in CT under license number 1710674841.

Where does Andrew D Whitbeck, IDC practice?

The practice location is 1 Wahoo Ave Bldg 449, Groton, CT 06349-2324. The office can be reached at 860-694-4897 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1710674841 directly on the NPPES registry website.

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