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ETHAN CONALL COLE IDC
NPI 1871211748
Military Health Care Provider - Independent Duty Corpsman in Aguana, GU

Active since August 17, 2022
USS FRANK CABLE, UNIT 100105, AGUANA, GU 96567(717) 601-4053 Get Directions Write a Review

NPPES record last updated: January 5, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 5, 2023, Aug 17, 2022 (2 updates tracked since 2022).

About Ethan Conall Cole Idc NPPES

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

ETHAN CONALL COLE IDC (NPI 1871211748) is an individual independent duty corpsman provider in Aguana, Guam and active in the NPI registry since August 2022. He maintains a secondary practice location in San Diego.

NPPES Registry Identity

NPI1871211748
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameETHAN CONALL COLECredential: IDC
Location AddressUSS FRANK CABLE, UNIT 100105Aguana, GU 96567
Mailing AddressUss Frank Cable, Unit 100105 Box 216 Fpo, Ae 96567-0502Aguana, GU 96567 · (717) 601-4053
Phone(717) 601-4053
Sole ProprietorNo
Enumeration DateAugust 17, 2022
Last NPPES UpdateJanuary 5, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 3, 2023
✔ NPI 1871211748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

Secondary Practice Location 1

Location 134101 Farenholt Ave Bldg 14San Diego, CA 92134-7000 · Phone (717) 601-4053

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 Ethan Cole's NPI number?

The NPI number for Ethan Cole is 1871211748. It was assigned to this individual provider in the NPPES registry on August 17, 2022.

Where is Ethan Cole located?

Ethan Cole practices at Uss Frank Cable Unit 100105, Aguana, GU 96567. The listed phone number is (717) 601-4053.

What is Ethan Cole'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 Ethan Cole was last updated on January 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.