Provider Demographics
NPI:1679863997
Name:PRINCIPLED CHIROPRACTIC LLC
Entity type:Organization
Organization Name:PRINCIPLED CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GALEN
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:HURL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:724-418-2990
Mailing Address - Street 1:2990 1/2 E STATE ST
Mailing Address - Street 2:
Mailing Address - City:HERMITAGE
Mailing Address - State:PA
Mailing Address - Zip Code:16148-2747
Mailing Address - Country:US
Mailing Address - Phone:724-418-2990
Mailing Address - Fax:
Practice Address - Street 1:2990 1/2 E STATE ST
Practice Address - Street 2:
Practice Address - City:HERMITAGE
Practice Address - State:PA
Practice Address - Zip Code:16148-2747
Practice Address - Country:US
Practice Address - Phone:724-418-2990
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-08
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty