Individual provider · Type 1 NPI
Rodolfo Pineda Manansala, INDEPENDENT DUTY HM
Independent Duty Corpsman · Great Lakes, IL
Practice location
601 D St Bldg 130-H
Great Lakes, IL 60088-2822
Mailing address
950 Elfering Ln
Antioch, IL 60002-6404
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Independent Duty Corpsman Primary | 1710I1002X | 1710I1002X (CA) |
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…
Other independent duty corpsman providers in Great Lakes
- David Aaron Galvan, IDCIndependent Duty Corpsman Great Lakes, IL NPI 1033319827
- Edward NMN Goldsborough Iv, IDCIndependent Duty Corpsman Great Lakes, IL NPI 1053511394
- John Allan Clayton Fulling, IDCIndependent Duty Corpsman Great Lakes, IL NPI 1083873905
- Luis Victor FernandezIndependent Duty Corpsman Great Lakes, IL NPI 1144588039
- Clinton Lariscy, IDCIndependent Duty Corpsman Great Lakes, IL NPI 1164736302
- Michael Paul Coffman, IDCIndependent Duty Corpsman Great Lakes, IL NPI 1184883688
- Rodger M. Howard, IDCIndependent Duty Corpsman Great Lakes, IL NPI 1205804242
- Jose Alfredo Nicola, IDCIndependent Duty Corpsman Great Lakes, IL NPI 1205891256
About NPI 1184809048
Rodolfo Pineda Manansala, INDEPENDENT DUTY HM's National Provider Identifier is 1184809048, issued on Jan 9, 2008. The primary taxonomy on file is Independent Duty Corpsman (1710I1002X), and the practice location is in Great Lakes, IL. The record was last updated on Aug 27, 2009.