MEDICARE: ERIN CHAPMAN IBCLC

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	174N00000X	Lactation Consultant (Non-RN)

General Provider Information

NPI Number	:	1124912449
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ERIN CHAPMAN IBCLC

Provider Business Mailing Address
First Line	:	510 VINCENTE AVE
Second Line	:
City	:	BERKELEY
State	:	CA
Zip	:	94707-1522
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	510 VINCENTE AVE
Second Line	:
City	:	BERKELEY
State	:	CA
Zip	:	94707-1522
Country	:	US
Telephone Number	:	510-289-5807
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ERIN HAJRE CHAPMAN
Credential	:	IBCLC
Telephone Number	:	510-289-5807

Provider Enumeration Date	:	06/03/2025
Last Update Date	:	06/03/2025

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