Provider Demographics
NPI:1982006631
Name:CEARFOSS, ERIN (MS, ATC)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:CEARFOSS
Suffix:
Gender:F
Credentials:MS, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:815 LAUREL ST
Mailing Address - Street 2:
Mailing Address - City:LAKEHURST
Mailing Address - State:NJ
Mailing Address - Zip Code:08733-2707
Mailing Address - Country:US
Mailing Address - Phone:732-657-3673
Mailing Address - Fax:
Practice Address - Street 1:160 MANSFIELD RD E
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:NJ
Practice Address - Zip Code:08022-2113
Practice Address - Country:US
Practice Address - Phone:609-298-3900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-24
Last Update Date:2014-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ2255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer