Healthcare Provider Details

I. General information

NPI: 1154425312
Provider Name (Legal Business Name): HUBERT FREDERICK CONLEE DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/11/2006
Last Update Date: 01/07/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 BROCKWAY RD
YALE MI
48097
US

IV. Provider business mailing address

211 BROCKWAY RD
YALE MI
48097
US

V. Phone/Fax

Practice location:
  • Phone: 810-387-3700
  • Fax: 810-387-3700
Mailing address:
  • Phone: 810-387-3700
  • Fax: 810-387-3700

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberHC004017
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: