Healthcare Provider Details

I. General information

NPI: 1790973725
Provider Name (Legal Business Name): HURLEY CHIROPRACTIC CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2007
Last Update Date: 09/30/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

813 OAK ST SUITE 12
CONWAY AR
72032-4473
US

IV. Provider business mailing address

2100 MEADOWLAKE ROAD SUITE 10
CONWAY AR
72032
US

V. Phone/Fax

Practice location:
  • Phone: 501-513-3322
  • Fax: 501-513-3065
Mailing address:
  • Phone: 501-513-3322
  • Fax: 501-513-3065

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1340
License Number StateAR

VIII. Authorized Official

Name: DR. CHRISTINE A HURLEY
Title or Position: CEO
Credential: DC
Phone: 501-513-3322