Evan Rodriguez
Specialist/Technologist, Athletic Trainer in West Hartford, Connecticut
1972130391- Practice location
- 200 Bloomfield Ave, West Hartford, CT 06117-1545
- Phone
- 860-786-7864
- Fax
- —
- Last updated
- March 25, 2020
Evan Rodriguez is a Specialist/Technologist, Athletic Trainer based in West Hartford, CT. Evan Rodriguez practices in West Hartford, CT. The NPI Number for Evan Rodriguez is 1972130391 and holds a License No. 001165 (CT). The current practice location address for Evan Rodriguez is 200 Bloomfield Ave, West Hartford, CT 06117-1545 and can be reached out via phone at 860-786-7864.
Provider Profile Details
- NPI Number
- 1972130391
- Provider Name
- Evan Rodriguez
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 200 Bloomfield Ave, West Hartford, CT 06117-1545
- Phone Number
- 860-786-7864
- Primary Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 25, 2020
- Last Update Date
- March 25, 2020
- Certification Date
- March 25, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 200 Bloomfield Ave
West Hartford, CT 06117-1545 - City
- West Hartford
- State
- Connecticut
- Zip
- 06117-1545
- Phone Number
- 860-786-7864
Provider Business Mailing Address Details
- Address
- 68 Robbins Ave
Newington, CT 06111-3833 - City
- Newington
- State
- CT
- Zip
- 06111-3833
License Information
- License Number
- 001165
- License State
- CT
- Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X · 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 Evan Rodriguez?
The NPI number of Evan Rodriguez is 1972130391. It was assigned on March 25, 2020 and is currently active in the NPPES registry.
What is the specialty of Evan Rodriguez?
Evan Rodriguez is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in CT under license number 001165.
Where does Evan Rodriguez practice?
The practice location is 200 Bloomfield Ave, West Hartford, CT 06117-1545. The office can be reached at 860-786-7864 (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 1972130391 directly on the NPPES registry website.