Organization · NPI-2

2d Recon Bn

Military Health Care Provider, Independent Duty Corpsman · Camp Lejeune, NC

NPI number1902179898
StatusActive
Last updated in NPPESSep 20, 2012

Details

NPI
1902179898
Entity type
Organization (NPI-2)
Legal business name
2d Recon Bn
Organization subpart
No
Enumeration date
Feb 23, 2012
Last updated
Sep 20, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1710I1002X Military Health Care Provider, Independent Duty Corpsman––Yes

Practice location

2d Marine Division, 2d Recon Bn
Psc Box 20138
Camp Lejeune, NC 28542-0138

Phone 910-440-7401

Mailing address

2d Marine Division, 2d Recon Bn
Camp Lejeune, NC 28542-0138

Phone 910-440-7401

Authorized official

Michael E Kaminsky
Battalion Surgeon
9104407712

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