Alex Etienne, MD
Internal Medicine, Addiction Medicine in Providence, Rhode Island
1447221866- Practice location
- 825 Chalkstone Ave, Providence, RI 02908-4728
- Phone
- 401-456-2363
- Fax
- 401-456-6744
- Last updated
- May 1, 2026
Alex Etienne is an Internal Medicine, Addiction Medicine based in Providence, RI. Alex Etienne practices in Providence, RI and has the professional credentials of MD. The NPI Number for Alex Etienne is 1447221866 and holds a License No. MD11719 (RI). The current practice location address for Alex Etienne is 825 Chalkstone Ave, Providence, RI 02908-4728 and can be reached out via phone at 401-456-2363 and via fax at 401-456-6744.
Provider Profile Details
- NPI Number
- 1447221866
- Provider Name
- Alex Etienne
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 825 Chalkstone Ave, Providence, RI 02908-4728
- Phone Number
- 401-456-2363
- Fax Number
- 401-456-6744
- Primary Taxonomy
- Internal Medicine, Addiction Medicine · 207RA0401X
- Sole Proprietor
- No
- Provider Enumeration Date
- February 1, 2006
- Last Update Date
- May 1, 2026
- Certification Date
- May 1, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 825 Chalkstone Ave
Providence, RI 02908-4728 - City
- Providence
- State
- Rhode Island
- Zip
- 02908-4728
- Phone Number
- 401-456-2363
- Fax Number
- 401-456-6744
Provider Business Mailing Address Details
- Address
- 825 Chalkstone Ave
Providence, RI 02908-4728 - City
- Providence
- State
- RI
- Zip
- 02908-4728
- Phone Number
- 401-456-2363
- Fax Number
- 401-456-6744
License Information
- License Number (1)
- MD11719
- License State (1)
- RI
- Taxonomy (1)
- Internal Medicine · 207R00000X
- License Number (2)
- MD11719
- License State (2)
- RI
- Taxonomy (2)
- Internal Medicine, Addiction Medicine · 207RA0401X · Primary
- License Number (3)
- MD11719
- License State (3)
- RI
- Taxonomy (3)
- Hospitalist · 208M00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Internal Medicine, Addiction Medicine providers near Providence, RI
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- Roger Williams Medical CenterInternal Medicine, Addiction Medicine · NPI 1457395998
- Seth ClarkInternal Medicine, Addiction Medicine · NPI 1801208798
- Susan H Hart, MDInternal Medicine, Addiction Medicine · NPI 1023043056
Frequently Asked Questions
What is the NPI number of Alex Etienne, MD?
The NPI number of Alex Etienne, MD is 1447221866. It was assigned on February 1, 2006 and is currently active in the NPPES registry.
What is the specialty of Alex Etienne, MD?
Alex Etienne, MD is registered under the primary taxonomy Internal Medicine, Addiction Medicine (code 207RA0401X), licensed in RI under license number MD11719.
Where does Alex Etienne, MD practice?
The practice location is 825 Chalkstone Ave, Providence, RI 02908-4728. The office can be reached at 401-456-2363 (phone) or 401-456-6744 (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 1447221866 directly on the NPPES registry website.