Healthcare Provider Details

I. General information

NPI: 1487650131
Provider Name (Legal Business Name): JRH CHIROPRACTIC SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/27/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2620 MEMORIAL BLVD STE E
CONNELLSVILLE PA
15425-1488
US

IV. Provider business mailing address

2620 MEMORIAL BLVD STE E
CONNELLSVILLE PA
15425-1488
US

V. Phone/Fax

Practice location:
  • Phone: 724-626-8890
  • Fax: 724-626-2983
Mailing address:
  • Phone: 724-626-8890
  • Fax: 724-626-2983

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC004033L
License Number StatePA

VIII. Authorized Official

Name: DR. JAMES RAYMOND HURLEY
Title or Position: OWNER
Credential: DC
Phone: 724-626-8890