Provider Demographics
NPI:1720398290
Name:HURL, GALEN ANDREW (DC)
Entity Type:Individual
Prefix:DR
First Name:GALEN
Middle Name:ANDREW
Last Name:HURL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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:
Is Sole Proprietor?:No
Enumeration Date:2010-10-18
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC011001111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor