Healthcare Provider Details

I. General information

NPI: 1427058973
Provider Name (Legal Business Name): MICHAEL J HURLEY D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2005
Last Update Date: 07/09/2007
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

Practice location:
  • Phone: 412-882-3300
  • Fax: 412-882-2661
Mailing address:
  • Phone: 412-882-3300
  • Fax: 412-882-2661

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC007661L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: