Provider Demographics
NPI:1962050781
Name:WARNING, ERIC DAVID (LAT, ATC)
Entity type:Individual
Prefix:
First Name:ERIC
Middle Name:DAVID
Last Name:WARNING
Suffix:
Gender:M
Credentials:LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4330 LONGHILL PT
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28311-9797
Mailing Address - Country:US
Mailing Address - Phone:412-952-2019
Mailing Address - Fax:
Practice Address - Street 1:2530 TAYLOR ST BLDG A
Practice Address - Street 2:
Practice Address - City:FORT BRAGG
Practice Address - State:NC
Practice Address - Zip Code:28310-4700
Practice Address - Country:US
Practice Address - Phone:412-952-2019
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-27
Last Update Date:2022-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program