Healthcare Provider Details
I. General information
NPI: 1417150269
Provider Name (Legal Business Name): HURLEY CHIROPRACTIC PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/08/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2851 SAW MILL RUN BLVD
PITTSBURGH PA
15227-1713
US
IV. Provider business mailing address
2851 SAW MILL RUN BLVD
PITTSBURGH PA
15227-1713
US
V. Phone/Fax
- Phone: 412-882-3300
- Fax: 412-882-2661
- Phone: 412-882-3300
- Fax: 412-882-2661
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | DC007661L |
| License Number State | PA |
VIII. Authorized Official
Name:
MICHAEL
J.
HURLEY
Title or Position: OWNER
Credential: DC
Phone: 412-882-3300