Individual provider · Type 1 NPI

Michael Paul Coffman, IDC

Independent Duty Corpsman · Great Lakes, IL

NPI number 1184883688 Active

Practice location

601 D Street
Great Lakes, IL 60088-2822

Mailing address

601 D St
Great Lakes, IL 60088-2822

Specialties and licenses

TaxonomyCodeLicense
Independent Duty Corpsman Primary 1710I1002XNone 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 1184883688

Michael Paul Coffman, IDC's National Provider Identifier is 1184883688, issued on Jun 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 Jun 9, 2008.