Healthcare Provider Details

I. General information

NPI: 1013965888
Provider Name (Legal Business Name): HURST CHIROPRACTIC, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2006
Last Update Date: 01/29/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1120 GRANT RD.
EAST WENATCHEE WA
98802
US

IV. Provider business mailing address

1120 GRANT RD.
EAST WENATCHEE WA
98802
US

V. Phone/Fax

Practice location:
  • Phone: 509-884-7163
  • Fax: 509-884-2363
Mailing address:
  • Phone: 509-884-7163
  • Fax: 509-884-2363

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH00033760
License Number StateWA

VIII. Authorized Official

Name: DR. CHAD R. HURST
Title or Position: CLINIC DIRECTOR
Credential: D.C.
Phone: 509-884-7163