IndividualActive
Jeremiah Decasteele
NPI 1508636366 · Independent Duty Corpsman · Groton, CT
Provider details
- NPI number
- 1508636366
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Mailing address
63 Ohio Ave
Groton, CT 06340-6106
Registry dates
- Enumerated
- 2024-01-03
- Last updated
- 2024-01-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.