IndividualActive
Adam Newell, IDC
NPI 1639424294 · Independent Duty Corpsman · Port Hueneme, CA
Provider details
- NPI number
- 1639424294
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Credential
- IDC
- Sex
- Male
- Sole proprietor
- No
Mailing address
1991 Pacific Rd
Port Hueneme, CA 93043-4306
Registry dates
- Enumerated
- 2012-07-19
- Last updated
- 2012-07-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.