Provider Demographics
NPI:1932679644
Name:HURD LIFE CHIROPRACTIC, P.C.
Entity Type:Organization
Organization Name:HURD LIFE CHIROPRACTIC, P.C.
Other - Org Name:THRIVE HEALTH, A HURD CHIROPRACTIC P.C.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MORGAN
Authorized Official - Middle Name:DANIEL
Authorized Official - Last Name:HURD
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:805-737-5656
Mailing Address - Street 1:203 W CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:LOMPOC
Mailing Address - State:CA
Mailing Address - Zip Code:93436-2813
Mailing Address - Country:US
Mailing Address - Phone:805-751-5940
Mailing Address - Fax:
Practice Address - Street 1:203 W CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:LOMPOC
Practice Address - State:CA
Practice Address - Zip Code:93436-2813
Practice Address - Country:US
Practice Address - Phone:805-737-5656
Practice Address - Fax:805-299-1806
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-26
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1750857405OtherNPI FOR INDIVIDUAL PROVIDER