WILLIAM LEE FAIRALL SOIDC
NPI 1336471374
Military Health Care Provider - Independent Duty Corpsman in Wilmington, NC

Active since February 02, 2010
8161 RED COCKADED CT APT 103, WILMINGTON, NC 28411(443) 521-1778 Get Directions Write a Review

NPPES record last updated: February 2, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About William Lee Fairall Soidc NPPES

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

WILLIAM LEE FAIRALL SOIDC (NPI 1336471374) is an individual independent duty corpsman provider in Wilmington, North Carolina and active in the NPI registry since February 2010.

NPPES Registry Identity

NPI1336471374
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameWILLIAM LEE FAIRALLCredential: SOIDC
Location Address8161 RED COCKADED CT APT 103Wilmington, NC 28411-7186
Mailing Address8161 Red Cockaded Ct Apt 103Wilmington, NC 28411-7186 · (443) 521-1778
Sole ProprietorYes
Enumeration DateFebruary 2, 2010
NPI 1336471374 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.
8161 RED COCKADED CT APT 103, Wilmington, NC 28411

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 William Fairall's NPI number?

The NPI number for William Fairall is 1336471374. It was assigned to this individual provider in the NPPES registry on February 2, 2010.

Where is William Fairall located?

William Fairall practices at 8161 Red Cockaded Ct Apt 103, Wilmington, NC 28411. The listed phone number is (443) 521-1778.

What is William Fairall'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 William Fairall was last updated on February 2, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.