Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 1567 | OH |
NPI | 1770670317 |
---|---|
Provider Name | Dr. John Edward Hurley JR. |
First Address | Cuyahoga Falls, OH 44221-3032 |
Second Address | Uniontown, OH 44685-7972 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/10/2006 |
Last Update Date | 22/12/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0985215 | (05) | OH |
T98029 | (02) | OH |