Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ERIK CHRISTIAN KETELSEN, IDC
Active Sole ProprietorERIK CHRISTIAN KETELSEN, IDC is a Independent Duty Corpsman healthcare provider located in PORT HUENEME, California. NPI 1093043051 is currently active in the NPPES registry. Verify at CMS.
Independent Duty Corpsman · PORT HUENEME, CA
Registration Details
- NPI Number
- 1093043051
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 1, 2009 (16.521230266392 yrs)
- Last Updated
- Dec 1, 2009
- Sole Proprietor
- Yes
Practice Information
- Address
-
4653 DOCK RDBLDG 524PORT HUENEME, CA, 930434321Browse CA providers · Browse ZIP 93043
- Phone
- 6195347920
- Primary Specialty
-
Independent Duty Corpsman
1710I1002X
Other Independent Duty Corpsman Providers in PORT HUENEME, CA
| Name | Credential | NPI |
|---|---|---|
| MR. FERNANDO JUAREZ | OTHER | 1275500365 |
| MIKE COCKRILL | IDC | 1861460123 |
| MR. DAVID ROGER HEGLIN | IDC | 1497767453 |
| CARLOS ROBERTO MARTINEZ | I.D.C. | 1689782294 |
| MR. JERRY M SMITH JR. | IDC | 1659460590 |
| JULIO CESAR ORTIZ | INDEPENDENT DUTY HM | 1467597476 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.