MR. RICHARD A ROQUE IDC
NPI 1760691810
Military Health Care Provider - Independent Duty Corpsman in Gulfport, MS
- Individual
- Male
- Military Health Care Provider
- Independent Duty Corpsman
About RICHARD ROQUE
This page provides the complete NPI Profile along with additional information for Richard Roque, a provider established in Gulfport, Mississippi with a medical specialization in Military Health Care Provider, focusing in independent duty corpsman . The healthcare provider is registered in the NPI registry with number 1760691810 assigned on May 2007. The practitioner's primary taxonomy code is 1710I1002X. The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1760691810 Verify this NPI
- Provider Name
- MR. RICHARD A ROQUE IDC
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 5503 MARVIN SHIELDS BLVD SEA BEE BASE CLINIC GULFPORT, MS 39501
- Location Phone
- (228) 871-2810
- Mailing Address
- NMCB 7 MEDICAL DEPARTMENT UNIT 60252 FPO, AA 34099
- Mailing Phone
- (228) 223-5879
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-22-2007
- Last Update Date
- 04-20-2008
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Military Health Care Provider Independent Duty Corpsman
- Taxonomy Code
- 1710I1002X
- Type
- Other Service Providers
- Taxonomy Description
- 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.
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Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
GULFPORT, MS 39501
GULFPORT, MS 39501
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1760691810, enumerated as an "individual" on May 22, 2007.
The provider is located at 5503 MARVIN SHIELDS BLVD SEA BEE BASE CLINIC GULFPORT, MS 39501 and the phone number is (228) 871-2810.
Military Health Care Provider with taxonomy code 1710I1002X and a focus in Independent Duty Corpsman.
