MR. EVAN JONATHAN WILSON IDC
NPI 1003298571
Military Health Care Provider - Independent Duty Corpsman in Yuma, AZ

Q: What is Evan Wilson's NPI number?

The NPI number for Evan Wilson is 1003298571. It was assigned to this individual provider in the NPPES registry on June 22, 2015.

Q: What is Evan Wilson's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

Q: When was this NPI record last updated?

The NPPES record for Evan Wilson was last updated on September 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 22, 2015

2989 EAST AROW ST, YUMA, AZ 85365(310) 408-7127 Get Directions Write a Review

NPPES record last updated: September 16, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Evan Jonathan Wilson Idc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. EVAN JONATHAN WILSON IDC (NPI 1003298571) is an individual independent duty corpsman provider in Yuma, Arizona and active in the NPI registry since June 2015.

NPPES Registry Identity

NPI1003298571

Entity TypeIndividualMale

Primary Taxonomy1710I1002X

Provider Legal NameMR. EVAN JONATHAN WILSONCredential: IDC

Location Address2989 EAST AROW STYuma, AZ 85365

Mailing Address1617 E Reilly St, Apt CYuma, AZ 85365-5659 · (310) 408-7127

Phone(310) 408-7127

Sole ProprietorYes

Enumeration DateJune 22, 2015

Last NPPES UpdateSeptember 16, 2015

✔ NPI 1003298571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers

Taxonomy Code1710I1002X

Definition

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 other supporting forces such as contractors and foreign nationals.

2989 EAST AROW ST, Yuma, AZ 85365

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Other Identifiers 1

Other1124648471CA · Us Navy

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Evan Wilson's NPI number?

The NPI number for Evan Wilson is 1003298571. It was assigned to this individual provider in the NPPES registry on June 22, 2015.

Where is Evan Wilson located?

Evan Wilson practices at 2989 East Arow St, Yuma, AZ 85365. The listed phone number is (310) 408-7127.

What is Evan Wilson's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

When was this NPI record last updated?

The NPPES record for Evan Wilson was last updated on September 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.