Active NPIIndividual providerSole proprietor

Mr. Emmanuel Andreoulakis, MS, ATC/LAT, PES

Specialist/Technologist, Athletic Trainer in Providence, Rhode Island

NPI Number1083001184
Practice location
235 Hope St, Providence, RI 02912-9090
Fax
—
Last updated
April 21, 2015

Emmanuel Andreoulakis is a Specialist/Technologist, Athletic Trainer based in Providence, RI. Emmanuel Andreoulakis practices in Providence, RI and has the professional credentials of MS, ATC/LAT, PES. The NPI Number for Emmanuel Andreoulakis is 1083001184 and holds a License No. AT00329 (RI). The current practice location address for Emmanuel Andreoulakis is 235 Hope St, Providence, RI 02912-9090 and can be reached out via phone at 401-338-3105.

Provider Profile Details

NPI Number
1083001184
Provider Name
Emmanuel Andreoulakis
Credential
MS, ATC/LAT, PES
Provider Entity Type
Individual
Gender
Male
Address
235 Hope St, Providence, RI 02912-9090
Phone Number
401-338-3105
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
Yes
Provider Enumeration Date
April 16, 2015
Last Update Date
April 21, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
235 Hope St
Providence, RI 02912-9090
Zip
02912-9090
Phone Number
401-338-3105
Providence, RI 02912Get directions →

Provider Business Mailing Address Details

Address
125 Goff Ave Unit 6101
Pawtucket, RI 02860-9202
City
Pawtucket
State
RI
Zip
02860-9202
Phone Number
401-338-3105

License Information

License Number
AT00329
License State
RI
Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Mr. Emmanuel Andreoulakis, MS, ATC/LAT, PES?

The NPI number of Mr. Emmanuel Andreoulakis, MS, ATC/LAT, PES is 1083001184. It was assigned on April 16, 2015 and is currently active in the NPPES registry.

What is the specialty of Mr. Emmanuel Andreoulakis, MS, ATC/LAT, PES?

Mr. Emmanuel Andreoulakis, MS, ATC/LAT, PES is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in RI under license number AT00329.

Where does Mr. Emmanuel Andreoulakis, MS, ATC/LAT, PES practice?

The practice location is 235 Hope St, Providence, RI 02912-9090. The office can be reached at 401-338-3105 (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 1083001184 directly on the NPPES registry website.

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