Provider Demographics
NPI:1013957596
Name:CHOI, ERIC D (DC)
Entity Type:Individual
Prefix:
First Name:ERIC
Middle Name:D
Last Name:CHOI
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 1:10700 E BETHANY DR STE 207
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-2680
Mailing Address - Country:US
Mailing Address - Phone:303-750-3000
Mailing Address - Fax:037-501-1100
Practice Address - Street 1:6280 W LAS POSITAS BLVD
Practice Address - Street 2:SUITE 201
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94588-4942
Practice Address - Country:US
Practice Address - Phone:925-484-4567
Practice Address - Fax:925-484-4325
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-07
Last Update Date:2020-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC28048111N00000X
COCHR-6247111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC0280480Medicare ID - Type Unspecified
CAU91032Medicare UPIN