Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEREMY R CARROLL, L.AC., MAOM
Active Sole ProprietorJEREMY R CARROLL, L.AC., MAOM is a Acupuncturist healthcare provider located in MIDDLEFIELD, Connecticut. NPI 1710547096 is currently active in the NPPES registry. Verify at CMS.
Acupuncturist · MIDDLEFIELD, CT
Registration Details
- NPI Number
- 1710547096
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 18, 2019 (7.1333549412521 yrs)
- Last Updated
- Jun 18, 2019
- License
-
000307 (CT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
474 MAIN STREETMIDDLEFIELD, CT, 06455Browse CT providers · Browse ZIP 06455
- Phone
- 8607049091
- Primary Specialty
-
Acupuncturist
171100000X
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.