Provider Demographics
NPI:1942405907
Name:CHIU, HUNG LIANG (DC)
Entity Type:Individual
Prefix:DR
First Name:HUNG LIANG
Middle Name:
Last Name:CHIU
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5602 LINWORTH RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43235-3355
Mailing Address - Country:US
Mailing Address - Phone:614-260-7256
Mailing Address - Fax:
Practice Address - Street 1:5602 LINWORTH RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43235-3355
Practice Address - Country:US
Practice Address - Phone:614-260-7256
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-19
Last Update Date:2018-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD03523111NR0400X, 111N00000X
OH4006111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NR0400XChiropractic ProvidersChiropractorRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH3016524Medicaid
OH3016524Medicaid