Healthcare Provider Details

I. General information

NPI: 1972638872
Provider Name (Legal Business Name): ERIN DELIA MCLAUGHLIN MS ATC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/22/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 N DUPONT HWY RM 109
DOVER DE
19901-2202
US

IV. Provider business mailing address

533 BEECH TREE LN
HOCKESSIN DE
19707-1155
US

V. Phone/Fax

Practice location:
  • Phone: 302-857-7554
  • Fax: 302-857-7553
Mailing address:
  • Phone: 302-239-4193
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License NumberJ3-0000276
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: