Mohammad Jabbar Al-Fatlawi, MAT LAT ATC
Individual provider Active NPI Athletic Trainer · Erie, PA
NPI 1992513477 · NPPES record last updated Dec 30, 2024
Key facts
- NPI
- 1992513477
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- RT008092 (PA)
- Practice address
- 8161 Oliver Rd
Erie, PA 16509-4600 - Phone
- (814) 860-8788
- NPI assigned
- Dec 30, 2024
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RT008092 | PA | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | RT008092 | PA | Yes |
Addresses
Primary practice location
8161 Oliver Rd
Erie, PA 16509-4600
Mailing address
545 W 31St St
Erie, PA 16508-1742
Phone (814) 860-8788
Other providers in Erie, PA
- Angela Akpabio
- Mohammed Al Areef
- Mustafa Al Juboori
- Ahmed Ayad Al Kayaly
- Sarah Al-Asady
- Adieb Al-Jayashi
- Maher W. Al-Masri
- Cheryl Lee Albanese
- Mary Anne Albaugh
- Patricia Catherine Albaugh
All providers in Erie, PA · Athletic Trainer in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.