Provider Demographics
NPI:1245850858
Name:CHU, ERIN (DC)
Entity type:Individual
Prefix:DR
First Name:ERIN
Middle Name:
Last Name:CHU
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2871 CLAYTON CROSSING WAY
Mailing Address - Street 2:STE 1073
Mailing Address - City:OVIEDO
Mailing Address - State:FL
Mailing Address - Zip Code:32765-3426
Mailing Address - Country:US
Mailing Address - Phone:407-542-1614
Mailing Address - Fax:407-542-1615
Practice Address - Street 1:2871 CLAYTON CROSSING WAY STE 1073
Practice Address - Street 2:
Practice Address - City:OVIEDO
Practice Address - State:FL
Practice Address - Zip Code:32765-3426
Practice Address - Country:US
Practice Address - Phone:407-542-1614
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-23
Last Update Date:2020-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH13107111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor