Healthcare Provider Details

I. General information

NPI: 1942405907
Provider Name (Legal Business Name): HUNG LIANG CHIU D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/19/2007
Last Update Date: 04/18/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5602 LINWORTH RD
COLUMBUS OH
43235-3355
US

IV. Provider business mailing address

5602 LINWORTH RD
COLUMBUS OH
43235-3355
US

V. Phone/Fax

Practice location:
  • Phone: 614-260-7256
  • Fax:
Mailing address:
  • Phone: 614-260-7256
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number03523
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number4006
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number03523
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: