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

Ethan James Melone, SOIDC

Individual provider Independent Duty Corpsman · NPI 1912789710

Ethan James Melone, SOIDC is an Independent Duty Corpsman in FPO, Armed Forces Pacific. Licensed in North Carolina. Registered with an NPI since 2023.

Licensed in
NC
In the registry since
2023

Practice location Address may be wrong

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

Unit 36180 3D Reconnaissance Battalion H&s Bas
FPO, AP 96389-6180
Phone: (703) 597-3817

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X · Licence 02236644EM (NC)

Record details

NPI number1912789710
Entity typeIndividual (Type 1)
GenderMale
Credentials SOIDC
Sole proprietorNo
NPI enumeratedOctober 17, 2023
Last updated in NPPESOctober 17, 2023
Certification dateOctober 16, 2023
Mailing address10025 Marshall Pond Rd, Burke, VA 22015-3735

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