Mr. Raymond I Ezirike III, ACSM-EP
Clinical Exercise Physiologist in Enfield, Connecticut
1558108159- Practice location
- 118 Hazard Ave, Enfield, CT 06082-4593
- Phone
- 860-803-2319
- Fax
- —
- Last updated
- July 10, 2024
Raymond Ikechukwu Ezirike is a Clinical Exercise Physiologist based in Enfield, CT. Raymond Ikechukwu Ezirike practices in Enfield, CT and has the professional credentials of ACSM-EP. The NPI Number for Raymond Ikechukwu Ezirike is 1558108159 and holds a License No. 1070016 (CT). The current practice location address for Raymond Ikechukwu Ezirike is 118 Hazard Ave, Enfield, CT 06082-4593 and can be reached out via phone at 860-803-2319.
Provider Profile Details
- NPI Number
- 1558108159
- Provider Name
- Raymond Ikechukwu Ezirike
- Credential
- ACSM-EP
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 118 Hazard Ave, Enfield, CT 06082-4593
- Phone Number
- 860-803-2319
- Primary Taxonomy
- Clinical Exercise Physiologist · 224Y00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- July 10, 2024
- Last Update Date
- July 10, 2024
- Certification Date
- July 10, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 118 Hazard Ave
Enfield, CT 06082-4593 - City
- Enfield
- State
- Connecticut
- Zip
- 06082-4593
- Phone Number
- 860-803-2319
Provider Business Mailing Address Details
- Address
- 91 Lancaster Dr
Windsor, CT 06095-1467 - City
- Windsor
- State
- CT
- Zip
- 06095-1467
- Phone Number
- 860-803-2319
License Information
- License Number
- 1070016
- License State
- CT
- Taxonomy
- Clinical Exercise Physiologist · 224Y00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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. Raymond I Ezirike III, ACSM-EP?
The NPI number of Mr. Raymond I Ezirike III, ACSM-EP is 1558108159. It was assigned on July 10, 2024 and is currently active in the NPPES registry.
What is the specialty of Mr. Raymond I Ezirike III, ACSM-EP?
Mr. Raymond I Ezirike III, ACSM-EP is registered under the primary taxonomy Clinical Exercise Physiologist (code 224Y00000X), licensed in CT under license number 1070016.
Where does Mr. Raymond I Ezirike III, ACSM-EP practice?
The practice location is 118 Hazard Ave, Enfield, CT 06082-4593. The office can be reached at 860-803-2319 (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 1558108159 directly on the NPPES registry website.