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Alex Etienne

Internist Internist - Addiction Medicine

825 Chalkstone Ave
Providence , Rhode Island 02908-4728

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Alex Etienne

Internist Internist - Addiction Medicine

825 Chalkstone Ave
Providence , Rhode Island 02908-4728

(401) 456-6744

Write a Review Save Call

Alex Etienne

Internist Internist - Addiction Medicine

825 Chalkstone Ave
Providence , Rhode Island 02908-4728

(401) 456-6744 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Internist
  • Internist - Addiction Medicine

Languages spoken

  • English

Location

825 Chalkstone Ave Providence , Rhode Island 02908-4728

First Address

  • Alex Etienne
  • 825 Chalkstone Ave
  • Providence, RI
  • Zip : 02908-4728
  • Fax : (401) 456-6744
  • Phone : (401) 456-2363

Second Address

  • Alex Etienne
  • 825 Chalkstone Ave
  • Providence, RI
  • Zip : 02908-4728
  • Fax : (401) 456-6744
  • Phone : (401) 456-2363

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FAQs


Where did Alex Etienne attend graduate school?

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Where did Alex Etienne do his residency?

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Where did Alex Etienne do his fellowship?

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Is Alex Etienne board certified?

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What type of doctor is Alex Etienne

Internist - Addiction Medicine

In what state does Alex Etienne practice in?

Rhode Island

Where is Alex Etienne ’s practice located?

825 Chalkstone Ave , Providence, Rhode Island, 02908-4728

What is Alex Etienne ’s gender?

Male

Is Alex Etienne a sole practitioner?

No

Is Alex Etienne accepting new patients?

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What languages does Alex Etienne speak?

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Does Alex Etienne accept insurance?

Yes, Alex Etienne accepts insurance

Does Alex Etienne offers telemedicine?

Alex Etienne has not indicated if he offers telemedicine

What is Alex Etienne ’s professional license number?

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What is Alex Etienne ’s NPI number?

1447221866

Does Alex Etienne have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 207R00000X Internist MD11719 RI
N 111NI0900X Internist MD11719 RI
Y 207RA0401X Internist - Addiction Medicine MD11719 RI

National Provider Identifier

NPI 1447221866
Provider Name Alex Etienne
First Address Providence, RI 02908-4728
Second Address Providence, RI 02908-4728
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 01/02/2006
Last Update Date 13/03/2012

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
29918 BLUE CROSS OF RI (01) RI
412896 BLUE CHIP OF RI (01) RI
7058051 (05) RI
I44741 (02) RI

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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