Provider Demographics
NPI:1669775045
Name:CHU, MICHELLE BAAU-YIH (DC)
Entity type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:BAAU-YIH
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 1:523 G ST
Mailing Address - Street 2:
Mailing Address - City:DAVIS
Mailing Address - State:CA
Mailing Address - Zip Code:95616-3820
Mailing Address - Country:US
Mailing Address - Phone:530-204-0228
Mailing Address - Fax:530-758-2131
Practice Address - Street 1:523 G ST
Practice Address - Street 2:
Practice Address - City:DAVIS
Practice Address - State:CA
Practice Address - Zip Code:95616-3820
Practice Address - Country:US
Practice Address - Phone:530-204-0228
Practice Address - Fax:530-758-2131
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-07
Last Update Date:2010-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC-31833111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor