Provider Demographics
NPI:1083688832
Name:ZIRKLE, ERIK ALEXANDER (ATC)
Entity Type:Individual
Prefix:MR
First Name:ERIK
Middle Name:ALEXANDER
Last Name:ZIRKLE
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:905 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:NC
Mailing Address - Zip Code:28144-3609
Mailing Address - Country:US
Mailing Address - Phone:704-642-1854
Mailing Address - Fax:704-216-6011
Practice Address - Street 1:701 W MONROE ST
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28144-5213
Practice Address - Country:US
Practice Address - Phone:704-216-6011
Practice Address - Fax:704-216-6011
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC299174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC299OtherNC STATE ATHLETIC TRAINER