Provider Demographics
NPI:1053881433
Name:CHAPLE, ERICA JADE (RD)
Entity type:Individual
Prefix:MRS
First Name:ERICA
Middle Name:JADE
Last Name:CHAPLE
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 OAKWOOD AVE UNIT 316
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06850-1392
Mailing Address - Country:US
Mailing Address - Phone:267-243-3503
Mailing Address - Fax:
Practice Address - Street 1:34 OAKWOOD AVE UNIT 316
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06850-1392
Practice Address - Country:US
Practice Address - Phone:267-243-3503
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-28
Last Update Date:2018-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT86075788133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered