Individual provider · Type 1 NPI

Ellis Alan Eid, IDC

Independent Duty Corpsman · Fpo, AE

NPI number 1104544089 Active

Practice location

Uss George Washington, Cvn 73
Fpo, AE 09550-2873

Call (757) 534-3448 Map

Mailing address

34101 Farenholt Ave Bldg 14
San Diego, CA 92134-7000

Other practice locations

34101 Farenholt Ave Bldg 14, San Diego, CA 92134-7000 · (619) 532-7968

Specialties and licenses

Taxonomy	Code	License
Student in an Organized Health Care Education/Training Program	390200000X	None listed
Independent Duty Corpsman Primary	1710I1002X	None listed

Independent Duty Corpsman: 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 othe…

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About NPI 1104544089

Ellis Alan Eid, IDC's National Provider Identifier is 1104544089, issued on Aug 17, 2022. The primary taxonomy on file is Independent Duty Corpsman (1710I1002X), and the practice location is in Fpo, AE. The record was last updated on Feb 14, 2023.