Jason Aaron Fix, SOIDC

Individual provider Active NPI Independent Duty Corpsman · Sneads Ferry, NC

NPI 1982381968 · NPPES record last updated Jun 30, 2023

Key facts

NPI
1982381968
Entity type
Individual (NPI type 1)
Primary specialty
Independent Duty Corpsman 1710I1002X
Practice address
415 Ridgeway Dr
Sneads Ferry, NC 28460-7613
Phone
(760) 920-1928
NPI assigned
Jun 30, 2023
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Independent Duty Corpsman 1710I1002X Yes

Addresses

Primary practice location

415 Ridgeway Dr
Sneads Ferry, NC 28460-7613

Mailing address

415 Ridgeway Dr
Sneads Ferry, NC 28460-7613
Phone (760) 920-1928

Other practice location 1

PSC 20183
Camp Lejeune, NC 28542
Phone (760) 920-1928

Other providers in Sneads Ferry, NC

All providers in Sneads Ferry, NC · Independent Duty Corpsman in North Carolina

Sources for this page

Verify at the official NPI Registry.