Decasteele, Jeremiah Jordan
Decasteele, Jeremiah Jordan is an sole proprietor health care provider with primary practice located at 63 Ohio Ave , Groton CT 06340-6106. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Decasteele, Jeremiah Jordan can be contacted via phone (631) 992-0705.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Independent Duty Corpsman | 1710I1002X | Connecticut |
Profile Details
| NPI number | 1508636366 |
|---|---|
| LBN Legal business name | Decasteele, Jeremiah Jordan |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 3rd, 2024 |
| Last updated | Jan 3rd, 2024 - about 10 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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