Healthcare Provider Details

I. General information

NPI: 1124912449
Provider Name (Legal Business Name): ERIN CHAPMAN IBCLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2025
Last Update Date: 06/03/2025
Certification Date: 06/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

510 VINCENTE AVE
BERKELEY CA
94707-1522
US

IV. Provider business mailing address

510 VINCENTE AVE
BERKELEY CA
94707-1522
US

V. Phone/Fax

Practice location:
  • Phone: 510-289-5807
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License Number
License Number State

VIII. Authorized Official

Name: ERIN HAJRE CHAPMAN
Title or Position: OWNER
Credential: IBCLC
Phone: 510-289-5807