IndividualActive
David Haynesnorton, IDC
NPI 1174901433 · Independent Duty Corpsman · Groton, CT
Provider details
- NPI number
- 1174901433
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Credential
- IDC
- Sex
- Male
- Sole proprietor
- Yes
Mailing address
5 Lake St
Groton, CT 06340-3317
Registry dates
- Enumerated
- 2015-05-07
- Last updated
- 2015-05-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.