Individual provider · Type 1 NPI

Jason Harold Henry, IDC

Independent Duty Corpsman · San Diego, CA

NPI number 1699987446 Active

Practice location

34101 Farenholt Ave
San Diego, CA 92134-7000

Call (619) 587-2475 Map

Fax (619) 532-5136

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 1699987446

Jason Harold Henry, IDC's National Provider Identifier is 1699987446, issued on May 4, 2007. The primary taxonomy on file is Independent Duty Corpsman (1710I1002X), and the practice location is in San Diego, CA. The record was last updated on Jul 8, 2007.