Individual provider · Type 1 NPI
Shane A. Walter, IDC
Independent Duty Corpsman · Silverdale, WA
Practice location
Bhc Bangor, 2050 Barb St, Suite A, Naval Submarine Base Bangor
Silverdale, WA 98315-2099
Fax (360) 396-4247
Mailing address
790 NE Shorewood Ct
Poulsbo, WA 98370-8436
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Independent Duty Corpsman Primary | 1710I1002X | 0I1002X171 (WA) |
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 1316915309
Shane A. Walter, IDC's National Provider Identifier is 1316915309, issued on Mar 8, 2006. The primary taxonomy on file is Independent Duty Corpsman (1710I1002X), and the practice location is in Silverdale, WA. The record was last updated on Jul 13, 2026.