Individual provider · Type 1 NPI

Joseph Thomas Minich, OTHER

Independent Duty Corpsman · Great Lakes, IL

NPI number 1346454808 Active

Practice location

2410 Sampson St Bldg 237
Great Lakes, IL 60088-2942

Mailing address

9517 69th St
Kenosha, WI 53142-8114

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 1346454808

Joseph Thomas Minich, OTHER's National Provider Identifier is 1346454808, issued on May 10, 2007. 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 Jul 8, 2007.