Active NPIIndividual providerSole proprietor

Mr. Russell D Fiore, ATC

Specialist/Technologist, Athletic Trainer in Providence, Rhode Island

NPI Number1104957620
Practice location
Brown University, 235 Hope St, Providence, RI 02912-0001
Fax
401-863-1156
Last updated
July 8, 2007

Russell D. Fiore is a Specialist/Technologist, Athletic Trainer based in Providence, RI. Russell D. Fiore practices in Providence, RI and has the professional credentials of ATC. The NPI Number for Russell D. Fiore is 1104957620 and holds a License No. AT00014 (RI). The current practice location address for Russell D. Fiore is Brown University, 235 Hope St, Providence, RI 02912-0001 and can be reached out via phone at 401-863-3851 and via fax at 401-863-1156.

Provider Profile Details

NPI Number
1104957620
Provider Name
Russell D. Fiore
Credential
ATC
Provider Entity Type
Individual
Gender
Male
Address
Brown University, 235 Hope St, Providence, RI 02912-0001
Phone Number
401-863-3851
Fax Number
401-863-1156
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
Yes
Provider Enumeration Date
March 8, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
Brown University
235 Hope St
Providence, RI 02912-0001
Zip
02912-0001
Phone Number
401-863-3851
Fax Number
401-863-1156
Providence, RI 02912Get directions →

Provider Business Mailing Address Details

Address
6 Red Chimney Dr
Lincoln, RI 02865-4610
City
Lincoln
State
RI
Zip
02865-4610
Phone Number
401-723-1055
Fax Number
401-863-1156

License Information

License Number
AT00014
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. Russell D Fiore, ATC?

The NPI number of Mr. Russell D Fiore, ATC is 1104957620. It was assigned on March 8, 2007 and is currently active in the NPPES registry.

What is the specialty of Mr. Russell D Fiore, ATC?

Mr. Russell D Fiore, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in RI under license number AT00014.

Where does Mr. Russell D Fiore, ATC practice?

The practice location is Brown University, 235 Hope St, Providence, RI 02912-0001. The office can be reached at 401-863-3851 (phone) or 401-863-1156 (fax).

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 1104957620 directly on the NPPES registry website.

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