Active NPIIndividual providerSole proprietor

Alexander Imhof, MS, ATC, PES

Specialist/Technologist, Athletic Trainer in Waterbury, Connecticut

NPI Number1518522069
Practice location
800 Country Club RD, Waterbury, CT 06708-3240
Fax
—
Last updated
May 9, 2019

Alexander Imhof is a Specialist/Technologist, Athletic Trainer based in Waterbury, CT. Alexander Imhof practices in Waterbury, CT and has the professional credentials of MS, ATC, PES. The NPI Number for Alexander Imhof is 1518522069 and holds a License No. 001175 (CT). The current practice location address for Alexander Imhof is 800 Country Club RD, Waterbury, CT 06708-3240 and can be reached out via phone at 203-591-5231.

Provider Profile Details

NPI Number
1518522069
Provider Name
Alexander Imhof
Credential
MS, ATC, PES
Provider Entity Type
Individual
Gender
Male
Address
800 Country Club RD, Waterbury, CT 06708-3240
Phone Number
203-591-5231
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
Yes
Provider Enumeration Date
May 9, 2019
Last Update Date
May 9, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
800 Country Club RD
Waterbury, CT 06708-3240
Zip
06708-3240
Phone Number
203-591-5231
Waterbury, CT 06708Get directions →

Provider Business Mailing Address Details

Address
28 Armstrong RD Unit B9
Coventry, CT 06238-3366
City
Coventry
State
CT
Zip
06238-3366

License Information

License Number
001175
License State
CT
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 Alexander Imhof, MS, ATC, PES?

The NPI number of Alexander Imhof, MS, ATC, PES is 1518522069. It was assigned on May 9, 2019 and is currently active in the NPPES registry.

What is the specialty of Alexander Imhof, MS, ATC, PES?

Alexander Imhof, MS, ATC, PES is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in CT under license number 001175.

Where does Alexander Imhof, MS, ATC, PES practice?

The practice location is 800 Country Club RD, Waterbury, CT 06708-3240. The office can be reached at 203-591-5231 (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 1518522069 directly on the NPPES registry website.

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