Mr. Jeremiah Loius King, IDC
Mr. Jeremiah Loius King, IDC is an Independent Duty Corpsman in Groton, Connecticut. Practices as a sole proprietor. Registered with an NPI since 2010.
- In the registry since
- 2010
Practice location Address checks out
141 Dewey AveGroton, CT 06340-3337
Phone: (228) 313-6708
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Specialties & licences
| Independent Duty Corpsman (primary) | Taxonomy 1710I1002X |
|---|
Record details
| NPI number | 1982912903 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | IDC |
| Sole proprietor | Yes |
| NPI enumerated | September 24, 2010 |
| Last updated in NPPES | September 24, 2010 |
| Mailing address | 141 Dewey Ave, Groton, CT 06340-3337 |
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