Alex Etienne in Providence - Addiction Medicine
Alex Etienne - NPI 1447221866
Alex Etienne is a Addiction Medicine in Providence, Rhode Island. Alex Etienne practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Alex Etienne is 1447221866. The last update date is 2012-03-13.
Alex Etienne's current location address is 825 Chalkstone Ave, Providence, Rhode Island. You can contact this provider via phone number 4014562363 and fax number 4014566744. The mailing address for Alex Etienne is 825 Chalkstone Ave, Providence, Rhode Island. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Alex Etienne |
|---|---|
| Address | 825 Chalkstone Ave, Providence, Rhode Island |
| Phone Number | 4014562363 |
| Fax Number | 4014566744 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1447221866 |
|---|---|
| Provider Enumeration Date | 2006-02-01 |
| Last Updated Date | 2012-03-13 |
Provider Mailing Address Detail
| Address | 825 Chalkstone Ave |
|---|---|
| City | Providence |
| State | Rhode Island (RI) |
| Post Code | 29084728 |
| Phone Number | 4014562363 |
| Fax Number | 4014566744 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction Medicine |
|---|---|
| Taxonomy | 207Ra0401X |
| Licence No | MD11719 |
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Definition: An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualification |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7058051 | RI | -- | |
| 412896 | RI | BLUE CHIP OF RI | |
| 29918 | RI | BLUE CROSS OF RI |
Post Comment/ Review Below
What is the unique identifier code issued to Alex Etienne by the Centers for Medicare & Medicaid Services?
The Alex Etienne has been assigned the NPI (National Provider Identifier) 1447221866. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Alex Etienne?
The Alex Etienne is physically situated at 825 Chalkstone Ave, in the city of Providence, state of RI, with the postal code 29084728.
What is Alex Etienne's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Alex Etienne is Addiction Medicine, and the taxonomy code that classifies this field of practice is 207Ra0401X.
On what date did the Centers for Medicare & Medicaid Services assign the 1447221866 to Alex Etienne?
The Centers for Medicare & Medicaid Services assigned the 1447221866 to Alex Etienne on 2006-02-01.
As of what date were the details pertaining to Alex Etienne last refreshed?
The information related to the Alex Etienne, including its address, specialty, and other relevant details, was last updated on 2012-03-13.