Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. THEODORE HARRISON JR., IDC
ActiveMR. THEODORE HARRISON JR., IDC is a Independent Duty Corpsman healthcare provider located in SUFFOLK, Virginia. NPI 1972791218 is currently active in the NPPES registry. Verify at CMS.
Independent Duty Corpsman · SUFFOLK, VA
Registration Details
- NPI Number
- 1972791218
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 11, 2007 (18.807535260852 yrs)
- Last Updated
- Oct 11, 2007
Practice Information
- Address
-
3020 SILVER CHARM CIRSUFFOLK, VA, 234353343Browse VA providers · Browse ZIP 23435
- Phone
- 7573755017
- Primary Specialty
-
Independent Duty Corpsman
1710I1002X
Other Independent Duty Corpsman Providers in SUFFOLK, VA
| Name | Credential | NPI |
|---|---|---|
| AARON DONALD JOHNSON | — | 1912968488 |
| MRS. KIMBERLY HELEN MCQUEEN | HS | 1659451748 |
| ALEXANDER RICHARD MISIUNAS | IDC | 1649428525 |
| CHRISTOPHER ANDREW DEJESUS | INDEPENDENT DUTY HM | 1427281229 |
| AMY MARIE CLARK | IDC | 1558707984 |
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.