Provider Demographics
NPI:1487315693
Name:CONLEY, ELDRIGE JAMES (DC)
Entity type:Individual
Prefix:DR
First Name:ELDRIGE
Middle Name:JAMES
Last Name:CONLEY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:EJ
Other - Middle Name:
Other - Last Name:CONLEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:6700 WALL ST APT 8G
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36695-4527
Mailing Address - Country:US
Mailing Address - Phone:334-797-1756
Mailing Address - Fax:
Practice Address - Street 1:3501 MONTLIMAR PLAZA DR
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36609-1736
Practice Address - Country:US
Practice Address - Phone:251-445-2295
Practice Address - Fax:251-445-2299
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-10
Last Update Date:2022-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2721111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor