JEREMY R CARROLL


Address: 474 Main Street, Middlefield, CT 06455
Phone: 8607049091

JEREMY R CARROLL (NPI# 1710547096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710547096
Entity Type Individual
Full Name JEREMY R CARROLL
Credential L.AC., MAOM
Practice Address 474 Main Street
Middlefield
CT 06455
Mailing Address 1083 Chamberlain Hill Rd
Middletown
CT 06457-5546
Practice Telephone 8607049091
Mailing Telephone 8609221073
Enumeration Date 2019-06-18
Last Update Date 2019-06-18
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171100000X Acupuncturist 000307 CT Other Service Providers

Other Providers JEREMY CARROLL

NPI Name Taxonomy Address Enumeration
1306307913 Jeremy David Carroll Student in an Organized Health Care Education/Training Program 47 New Scotland Ave, Dept. of Orthopaedic Surgery, Albany, NY 12208-3412 2019-03-27

Office Location

Street Address 474 MAIN STREET
City MIDDLEFIELD
State CT
Zip Code 06455

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1811037690 Millicent M Malcolm LLC Nurse Practitioner 369 Baileyville Rd, Middlefield, CT 06455 2007-02-08
1154455699 Regional School District 13 Local Education Agency (LEA) 124 Hubbard Street, Middlefield, CT 06455-0446 2007-03-15
1346691300 Connecticut Behavior Consultants LLC Community/Behavioral Health 42 Valleyview Dr, Middlefield, CT 06455-1004 2016-06-30
1851912745 Ben's Behavioral Health Behavioral Analyst 42 Valleyview Dr, Middlefield, CT 06455-1004 2020-05-01
1598021123 Elisabeth H Frimberger Psychiatry & Neurology 255 Baileyville Rd, Middlefield, CT 06455-1014 2012-04-09
1265934103 Inspire Recovery LLC Counselor 6 Way Rd Ste 138, Middlefield, CT 06455-1080 2018-03-07
1689660052 Stephen Martin Fowler Chiropractor 6 Way Rd, Middlefield, CT 06455-1080 2005-09-21
1285135855 Mcgrath's Home Care Services, LLC Home Health 6 Way Rd, Middlefield, CT 06455-1080 2018-02-28
1700384856 Tricircle, Inc. Clinic/Center 6 Way Rd, Middlefield, CT 06455-1080 2018-01-24
1639521305 Mdft Connecticut, LLC Community/Behavioral Health 6 Way Rd, Middlefield, CT 06455-1080 2016-07-06
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Taxonomy Information

Taxonomy Code 171100000X
Grouping Other Service Providers
Classification Acupuncturist

Taxonomy Definition

An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1063012607 Connecticut Acupuncture Center Acupuncturist 9 Arrowhead Ln, Sandy Hook, CT 06482-1655 2020-10-30
1053910133 Bethel Holistic Health Acupuncturist 142c Grassy Plain St, Bethel, CT 06801-4800 2020-10-20
1457977654 Clove Tree Community Acupuncture Acupuncturist 41 Middletown Ave # 2ndf, North Haven, CT 06473-3939 2020-06-23
1336772276 Acupuncture Tree of Life LLC Acupuncturist 601 Farmington Ave Apt 1, New Britain, CT 06053-5901 2020-02-19
1255963104 Gregory Lawrence Bertram Acupuncturist 131 Post Rd E, Westport, CT 06880-3410 2020-02-09
1770128340 Jianhua Tsoi Acupuncturist 280 Railroad Ave Ste 2, Greenwich, CT 06830-6338 2019-11-07
1740834100 Yubin Liang Acupuncturist 136 Dowd Ave, Canton, CT 06019-2438 2019-07-24
1720640964 Caroline Georgetti Acupuncturist 38 E Main St Ste 5, Mystic, CT 06355-2807 2019-07-08
1255990792 Eco-life Acupuncture Ct, PC Acupuncturist 84 E Rocks Rd, Norwalk, CT 06851-2924 2019-06-09
1144886573 Michael Alan Thorns Acupuncturist 262 State St Ste B, North Haven, CT 06473-2135 2019-05-10
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Competitor

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City MIDDLEFIELD
Zip Code 06455

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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