BLAKE MATTHEW REYNOLDS SOIDC
NPI 1316239197
Military Health Care Provider - Independent Duty Corpsman in Camp Lejeune, NC
About Blake Matthew Reynolds Soidc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BLAKE MATTHEW REYNOLDS SOIDC (NPI 1316239197) is an individual independent duty corpsman provider in Camp Lejeune, North Carolina and active in the NPI registry since May 2011.
NPPES Registry Identity
Specialties & Licenses
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.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1316239197, enumerated as an "individual" on May 11, 2011.
The provider is located at 2D MSOB, BLDG. A-66 CAMP LEJEUNE, NC 28542 and the phone number is (910) 440-7704.
Military Health Care Provider with taxonomy code 1710I1002X and a focus in Independent Duty Corpsman.
