BEAU J BOSTWICK


Address: Uss Defender, Fpo, AP 96663-1922
Phone: 08027382390

BEAU J BOSTWICK (NPI# 1346519972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346519972
Entity Type Individual
Full Name BEAU J BOSTWICK
Practice Address Uss Defender
Fpo
AP 96663-1922
Practice Telephone 08027382390
Mailing Telephone 08027382390
Enumeration Date 2011-12-28
Last Update Date 2011-12-28
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1710I1002X Military Health Care Provider
Specialization: Independent Duty Corpsman
Other Service Providers

Office Location

Street Address USS DEFENDER
City FPO
State AP
Zip Code 96663-1922

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1003227844 Chase Crum Military Health Care Provider Uss Rodney M Davis, Fpo, AP 96663-1514 2014-05-14
1083965461 Jared Lynn Alexander Military Health Care Provider Uss Lpd 9 Denver, Fpo, AP 96663-1712 2012-09-26
1508170671 Nana Duah Owusuafriyie Military Health Care Provider Uss Denver Lpd 9, Attn: Hm1 Owusuafriyie, Fpo, AP 96663-1712 2010-08-01

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Taxonomy Information

Taxonomy Code 1710I1002X
Grouping Other Service Providers
Classification Military Health Care Provider
Specialization Independent Duty Corpsman

Taxonomy 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.
Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1538768833 James Blake Weldon Military Health Care Provider Unit 100517 Bx 1, Fpo, AP 09655 2020-10-19
1740803279 Issa Khalil Military Health Care Provider Uss Donald Cook, Fpo, AE 09566 2020-05-19
1396370623 Daniel Rocha Moy Military Health Care Provider Uss Thunderbolt (pc-12), Fpo, AE 09588 2020-03-06
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1053955609 Christopher Zartman Military Health Care Provider Camp Foster, Okinawa Japan, Fpo, AP 96379-0005 2019-11-06
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Competitor

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City FPO
Zip Code 96663

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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