MR. TERRY D GREEN SFIDC - NPI 1801054465 - Military Health Care Provider in San Diego, CA

Q: What is Terry Green's NPI number?

The NPI number for Terry Green is 1801054465. It was assigned to this individual provider in the NPPES registry on May 29, 2008.

Q: What is Terry Green'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 Terry Green was last updated on May 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

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About Mr. Terry D Green Sfidc NPPES

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

MR. TERRY D GREEN SFIDC (NPI 1801054465) is an individual independent duty corpsman provider in San Diego, California and active in the NPI registry since May 2008.

NPPES Registry Identity

NPI1801054465

Entity TypeIndividualMale

Primary Taxonomy1710I1002X

Provider Legal NameMR. TERRY D GREENCredential: SFIDC

Location Address34800 BOB WILSON DRSan Diego, CA 92134-1098

Mailing Address34800 Bob Wilson DrSan Diego, CA 92134-1098 · (619) 524-9356 · Fax (619) 524-9207

Phone(619) 524-9356

Fax(619) 524-9207

Sole ProprietorNo

Enumeration DateMay 29, 2008

✔ NPI 1801054465 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.

34800 BOB WILSON DR, San Diego, CA 92134

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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