Individual provider · Type 1 NPI

Johnathan Andrew Boswell, IDC

Independent Duty Corpsman · Camp Lejeune, NC

NPI number 1871863696 Active

Practice location

100 Brewster Blvd
Camp Lejeune, NC 28547-2575

Call (910) 382-2169 Map

Other practice locations

  • 34101 Farenholt Ave, San Diego, CA 92134 · (910) 546-5726

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 1871863696

Johnathan Andrew Boswell, IDC's National Provider Identifier is 1871863696, issued on Jan 10, 2012. The primary taxonomy on file is Independent Duty Corpsman (1710I1002X), and the practice location is in Camp Lejeune, NC. The record was last updated on Jul 1, 2022.