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

Haaris George Bjotvedt, SOIDCSO-ATP

Individual provider Independent Duty Corpsman · NPI 1144103292

Haaris George Bjotvedt, SOIDCSO-ATP is an Independent Duty Corpsman in Camp Lejeune, North Carolina. Licensed in North Carolina. Registered with an NPI since 2025.

Licensed in
NC
In the registry since
2025

Practice location Address checks out

2D Marine Raider Battalion Battalion Aid Station Psc Box 20183
Camp Lejeune, NC 28542-0183
Phone: (910) 440-7704
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X · Licence 10243398HB (NC)

Record details

NPI number1144103292
Entity typeIndividual (Type 1)
GenderMale
Credentials SOIDCSO-ATP
Sole proprietorNo
NPI enumeratedJuly 28, 2025
Last updated in NPPESJuly 28, 2025
Certification dateJuly 17, 2025

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