Jeremy R Carroll, LAC, MAOM
Acupuncturist in Middlefield, Connecticut
1710547096- Practice location
- 474 Main Street, Middlefield, CT 06455
- Phone
- 860-704-9091
- Fax
- —
- Last updated
- June 18, 2019
Jeremy R Carroll is an Acupuncturist based in Middlefield, CT. Jeremy R Carroll practices in Middlefield, CT and has the professional credentials of LAC, MAOM. The NPI Number for Jeremy R Carroll is 1710547096 and holds a License No. 000307 (CT). The current practice location address for Jeremy R Carroll is 474 Main Street, Middlefield, CT 06455 and can be reached out via phone at 860-704-9091.
Provider Profile Details
- NPI Number
- 1710547096
- Provider Name
- Jeremy R Carroll
- Credential
- LAC, MAOM
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 474 Main Street, Middlefield, CT 06455
- Phone Number
- 860-704-9091
- Primary Taxonomy
- Acupuncturist · 171100000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- June 18, 2019
- Last Update Date
- June 18, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 474 Main Street
Middlefield, CT 06455 - City
- Middlefield
- State
- Connecticut
- Zip
- 06455
- Phone Number
- 860-704-9091
Provider Business Mailing Address Details
- Address
- 1083 Chamberlain Hill RD
Middletown, CT 06457-5546 - City
- Middletown
- State
- CT
- Zip
- 06457-5546
- Phone Number
- 860-922-1073
License Information
- License Number
- 000307
- License State
- CT
- Taxonomy
- Acupuncturist · 171100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Jeremy R Carroll, LAC, MAOM?
The NPI number of Jeremy R Carroll, LAC, MAOM is 1710547096. It was assigned on June 18, 2019 and is currently active in the NPPES registry.
What is the specialty of Jeremy R Carroll, LAC, MAOM?
Jeremy R Carroll, LAC, MAOM is registered under the primary taxonomy Acupuncturist (code 171100000X), licensed in CT under license number 000307.
Where does Jeremy R Carroll, LAC, MAOM practice?
The practice location is 474 Main Street, Middlefield, CT 06455. The office can be reached at 860-704-9091 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1710547096 directly on the NPPES registry website.