Individual provider · Type 1 NPI

Jedidiah E. Johnson, HS1, IDC

Independent Duty Corpsman · Homer, AK

NPI number 1114000130 Active

Practice location

4688 Homer Spit Rd
Homer, AK 99603-8001

Specialties and licenses

TaxonomyCodeLicense
Independent Duty Corpsman Primary 1710I1002XNone listed
Other Technician 247200000XNone 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…

Another provider at this address

About NPI 1114000130

Jedidiah E. Johnson, HS1, IDC's National Provider Identifier is 1114000130, issued on Oct 23, 2006. The primary taxonomy on file is Independent Duty Corpsman (1710I1002X), and the practice location is in Homer, AK. The record was last updated on Oct 8, 2013.