Jedidiah E. Johnson, HS1, IDC
Jedidiah E. Johnson, HS1, IDC is an Independent Duty Corpsman in Homer, Alaska. Licensed in California. Registered with an NPI since 2006.
- Licensed in
- CA
- In the registry since
- 2006
- Specialties on file
- 2
Practice location Address checks out
4688 Homer Spit RdHomer, AK 99603-8001
Phone: (360) 567-8238
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Independent Duty Corpsman (primary) | Taxonomy 1710I1002X (CA) |
|---|---|
| Other Technician | Taxonomy 247200000X |
Record details
| NPI number | 1114000130 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | HS1 , IDC |
| Sole proprietor | No |
| NPI enumerated | October 23, 2006 |
| Last updated in NPPES | October 8, 2013 |
| Mailing address | 4688 Homer Spit Rd, Uscgc Hickory, Homer, AK 99603 |