NPI Profile for SEAN P OVERLIE in SAN DIEGO, CA.
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.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Independent Duty Corpsman |
1710I1002X |
| NPI # | 1558500090 |
|
| Status | Active | |
| Credentials | IDC | |
| Entity | Individual | |
| Enumeration date | 02/06/2009 | |
| Last updated | 02/06/2009 - About 17 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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SEAN P OVERLIE
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| COLE T DEMOULPIED, CORPSMAN 2587 OLD QUARRY RD SAN DIEGO, CA |
| REYNALDO L REYES JR, PHYSICIAN ASSISTANT 35000 GUADALCANAL ST SAN DIEGO, CA |
| RAMONE D RESOP, SFIDC MCM CREW FEARLESS FPO, AP |