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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JEREMIAH JORDAN DECASTEELE

Active Sole Proprietor

JEREMIAH JORDAN DECASTEELE is a Independent Duty Corpsman healthcare provider located in GROTON, Connecticut. NPI 1508636366 is currently active in the NPPES registry. Verify at CMS.

Independent Duty Corpsman · GROTON, CT

Registration Details

NPI Number
1508636366
Provider Type
Individual
Gender
Male
NPI Issued
Jan 3, 2024 (2.4245270668213 yrs)
Last Updated
Jan 3, 2024
Sole Proprietor
Yes

Practice Information

Address
63 OHIO AVE
GROTON, CT, 063406106
Browse CT providers · Browse ZIP 06340
Phone
6319920705
Primary Specialty
Independent Duty Corpsman
1710I1002X

Other Independent Duty Corpsman Providers in GROTON, CT

Name Credential NPI
ROY L UNDERWOOD SFIDC 1588631014
MR. RANDALL FREDERICK DIERKING JR. IDC 1790752111
MR. DAVID ANDREW PETERSON JR. 1639147606
JOHN REED 1568439594
MICHAEL NAPOLITANO 1356318331
JEFFREY LYNN MCGREGOR IDC 1912941980
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.