MEDICARE: DR. ERIN CHU DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	CH13107	FL

General Provider Information

NPI Number	:	1245850858
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ERIN CHU DC

Provider Business Mailing Address
First Line	:	2871 CLAYTON CROSSING WAY
Second Line	:	STE 1073
City	:	OVIEDO
State	:	FL
Zip	:	32765-3426
Country	:	US
Telephone Number	:	407-542-1614
Fax Number	:	407-542-1615

Provider Business Practice Location Address
First Line	:	2871 CLAYTON CROSSING WAY STE 1073
Second Line	:
City	:	OVIEDO
State	:	FL
Zip	:	32765-3426
Country	:	US
Telephone Number	:	407-542-1614
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/23/2020
Last Update Date	:	05/11/2020

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Directions to “ DR. ERIN CHU DC” Practice Location

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