Basic Information
Provider Information
NPI: 1417150269
EntityType: 2
ReplacementNPI:  
OrganizationName: HURLEY CHIROPRACTIC PC
LastName:  
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Mailing Information
Address1: 2851 SAW MILL RUN BLVD
Address2:  
City: PITTSBURGH
State: PA
PostalCode: 152271713
CountryCode: US
TelephoneNumber: 4128823300
FaxNumber: 4128822661
Practice Location
Address1: 2851 SAW MILL RUN BLVD
Address2:  
City: PITTSBURGH
State: PA
PostalCode: 152271713
CountryCode: US
TelephoneNumber: 4128823300
FaxNumber: 4128822661
Other Information
ProviderEnumerationDate: 06/08/2007
LastUpdateDate: 08/22/2020
NPIDeactivationReasonCode:  
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ProviderGenderCode:  
AuthorizedOfficialLastName: HURLEY
AuthorizedOfficialFirstName: MICHAEL
AuthorizedOfficialMiddleName: J.
AuthorizedOfficialTitleorPosition: OWNER
AuthorizedOfficialTelephone: 4128823300
IsSoleProprietor:  
IsOrganizationSubpart: N
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AuthorizedOfficialCredential: DC
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
111N00000XDC007661LPAY193400000X SINGLE SPECIALTY GROUPChiropractic ProvidersChiropractor 

No ID Information.


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