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GEORGE CONRAD FASTENAU NAVY IDC
NPI 1386851574
Military Health Care Provider - Independent Duty Corpsman in Camp Lejeune, NC

Active since May 17, 2007
2ND CEB BAS 2D MARDIV II MEF, CAMP LEJEUNE, NC 28542(910) 451-7989 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About George Conrad Fastenau Navy Idc NPPES

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

GEORGE CONRAD FASTENAU NAVY IDC (NPI 1386851574) is an individual independent duty corpsman provider in Camp Lejeune, North Carolina and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1386851574
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameGEORGE CONRAD FASTENAUCredential: NAVY IDC
Location Address2ND CEB BAS 2D MARDIV II MEFCamp Lejeune, NC 28542
Mailing Address5179 Colorado AveCamp Lejeune, NC 28547-1126 · (910) 451-7989
Phone(910) 451-7989
Sole ProprietorNo
Enumeration DateMay 17, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1386851574 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.
2ND CEB BAS 2D MARDIV II MEF, Camp Lejeune, NC 28542
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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 George Fastenau's NPI number?

The NPI number for George Fastenau is 1386851574. It was assigned to this individual provider in the NPPES registry on May 17, 2007.

Where is George Fastenau located?

George Fastenau practices at 2nd Ceb Bas 2D Mardiv II Mef, Camp Lejeune, NC 28542. The listed phone number is (910) 451-7989.

What is George Fastenau'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 George Fastenau was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.