Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ellis Alan Eid, IDC

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1104544089

Ellis Alan Eid, IDC is a Student in an Organized Health Care Education/Training Program in FPO, Armed Forces Europe. Practices as a sole proprietor and works from 2 locations. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2
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Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

Uss George Washington Cvn 73
FPO, AE 09550-2873
Phone: (757) 534-3448

No coordinates on file. Search this address in Google Maps

Additional practice locations (1)

  • 34101 Farenholt Ave Bldg 14, San Diego, CA 92134-7000 — (619) 532-7968

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1104544089
Entity typeIndividual (Type 1)
GenderMale
Credentials IDC
Sole proprietorYes
NPI enumeratedAugust 17, 2022
Last updated in NPPESFebruary 14, 2023
Certification dateFebruary 8, 2023
Mailing address34101 Farenholt Ave Bldg 14, San Diego, CA 92134-7000

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