Provider Demographics
NPI:1447430558
Name:GING, ERIN R (MED,ATC, LAT, CEAS)
Entity Type:Individual
Prefix:MS
First Name:ERIN
Middle Name:R
Last Name:GING
Suffix:
Gender:F
Credentials:MED,ATC, LAT, CEAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3900 N MINGO RD
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74116-5000
Mailing Address - Country:US
Mailing Address - Phone:918-292-3396
Mailing Address - Fax:
Practice Address - Street 1:3900 N MINGO RD
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74116-5000
Practice Address - Country:US
Practice Address - Phone:918-292-3396
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-06
Last Update Date:2019-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3732255A2300X, 174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
No174400000XOther Service ProvidersSpecialist