SearchConnecticutIndependent Duty Corpsman

Jeremiah Decasteele

NPI 1508636366 · on the registry since 2024 · sole proprietor

Practice

Address
63 Ohio Ave
Groton, CT 06340
Phone
(631) 992-0705

Registry record

Primary taxonomy
Independent Duty Corpsman
1710I1002X
Licence states on file
CT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-01-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut