Individual
ERIC L. PING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACNP
Contact information
Practice address
2828 1ST AVE, SUITE 200, HUNTINGTON, WV 25702-1236
(304) 399-7530
(304) 399-7532
Mailing address
PO BOX 4190, BARBOURSVILLE, WV 25504-4190
(304) 399-4405
(304) 399-2526
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28147923A
IN
363L00000X
Nurse Practitioner
COA-07664
OH
363LA2100X
Acute Care Nurse Practitioner
Primary
79219
WV
363LF0000X
Family Nurse Practitioner
ARNP9256944
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001714159
MOUNTAIN STATE BCBS
—
01
—
2509824
MOLINA MEDICAID
OH
05
—
7100148470
—
KY
05
—
7103250000
—
WV
01
—
P00129285
RR MEDICARE
—
01
—
P00924317
RR MEDICAID
WV
Enumeration date
07/14/2006
Last updated
04/22/2021
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