Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JERRICSON BARLIS PERALTA, IDC
ActiveJERRICSON BARLIS PERALTA, IDC is a Independent Duty Corpsman healthcare provider located in KITTERY, Maine. NPI 1740719814 is currently active in the NPPES registry. Verify at CMS.
Independent Duty Corpsman · KITTERY, ME
Registration Details
- NPI Number
- 1740719814
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 12, 2017 (8.9923669615888 yrs)
- Last Updated
- Jan 27, 2025
Practice Information
- Address
-
402 GOODRICH AVENUEKITTERY, ME, 03904Browse ME providers · Browse ZIP 03904
- Phone
- 2074381781
- Primary Specialty
-
Independent Duty Corpsman
1710I1002X
Other Independent Duty Corpsman Providers in KITTERY, ME
| Name | Credential | NPI |
|---|---|---|
| ANDREW AZEVEDO | IDC | 1396268595 |
| SETH WILLIAM ECKENROTH | USCG IDHS | 1518610526 |
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.