NICHOLAS ANDREW CLEAR
NPI 1942983788
Military Health Care Provider - Independent Duty Corpsman in Groton, CT

Active since August 09, 2023
TROUT AVE, BLDG. 159, GROTON, CT 06340(860) 694-3416 Get Directions Write a Review

NPPES record last updated: August 9, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • Military Health Care Provider
  • Independent Duty Corpsman

About NICHOLAS CLEAR

This page provides the complete NPI Profile along with additional information for Nicholas Clear, a provider established in Groton, Connecticut 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 1942983788 assigned on August 2023. The practitioner's primary taxonomy code is 1710I1002X. The provider is registered as an individual and his NPI record was last updated 3 years ago.

NPI
1942983788 Verify this NPI
Provider Name
NICHOLAS ANDREW CLEAR
Gender
Male
Entity Type
Individual
Location Address
TROUT AVE BLDG. 159 GROTON, CT 06340
Location Phone
(860) 694-3416
Mailing Address
87 LEAFWOOD LN APT 235 GROTON, CT 06340
Mailing Phone
(865) 919-1611
Is Sole Proprietor?
Yes
Enumeration Date
08-09-2023
Last Update Date
08-09-2023
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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 2 providers are registered at the same or a nearby location.

Military Health Care Provider (Independent Duty Corpsman)
TROUT AVE
GROTON, CT 06340
Military Health Care Provider (Independent Duty Corpsman)
TROUT AVE, BLDG 159
GROTON, CT 06340

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1942983788, enumerated as an "individual" on August 09, 2023.

The provider is located at TROUT AVE BLDG. 159 GROTON, CT 06340 and the phone number is (860) 694-3416.

Military Health Care Provider with taxonomy code 1710I1002X and a focus in Independent Duty Corpsman.