Healthcare Provider Details

I. General information

NPI: 1487315693
Provider Name (Legal Business Name): ELDRIGE JAMES CONLEY DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: EJ CONLEY DC

II. Dates (important events)

Enumeration Date: 01/10/2022
Last Update Date: 08/19/2025
Certification Date: 08/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28190 N MAIN ST
DAPHNE AL
36526-7073
US

IV. Provider business mailing address

830 US HIGHWAY 98 APT 236
DAPHNE AL
36526-5805
US

V. Phone/Fax

Practice location:
  • Phone: 251-621-0700
  • Fax:
Mailing address:
  • Phone: 334-797-1756
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License Number6710
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2721
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: