MR. LORENZO F BASILIO III


Address: 3d Medical Bn, Bravo Company, Camp Hansen, OKINAWA 96604, JP
Phone: 3156234681

MR. LORENZO F BASILIO III (NPI# 1922203611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922203611
Entity Type Individual
Full Name MR. LORENZO F BASILIO III
Credential SFIDC
Practice Address 3d Medical Bn
Bravo Company
Camp Hansen
OKINAWA 96604
JP
Mailing Address Psc 80 Box 10436
Apo
AP 96367
JP
Practice Telephone 3156234681
Mailing Telephone 0989593024
Enumeration Date 2007-06-20
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1710I1002X Military Health Care Provider
Specialization: Independent Duty Corpsman
Other Service Providers

Office Location

Street Address 3D MEDICAL BN
BRAVO COMPANY
City CAMP HANSEN
State OKINAWA
Zip Code 96604

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Taxonomy Information

Taxonomy Code 1710I1002X
Grouping Other Service Providers
Classification Military Health Care Provider
Specialization Independent Duty Corpsman

Taxonomy Definition

A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1780907618 John Martinez Military Health Care Provider Psc 559 Box 6007, Fpo/ap, OKINAWA 96377 2010-03-06

Competitor

Search similar providers

City CAMP HANSEN
Zip Code 96604

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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