MEDICARE: MS. ERIN R GING MED,ATC, LAT, CEAS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2255A2300X	Athletic Trainer	373	OK
2	174400000X	Specialist	373	OK

General Provider Information

NPI Number	:	1447430558
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ERIN R GING MED,ATC, LAT, CEAS

Provider Business Mailing Address
First Line	:	3900 N MINGO RD
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74116-5000
Country	:	US
Telephone Number	:	918-292-3396
Fax Number	:

Provider Business Practice Location Address
First Line	:	3900 N MINGO RD
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74116-5000
Country	:	US
Telephone Number	:	918-292-3396
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/06/2007
Last Update Date	:	06/06/2019

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