Provider Demographics
NPI:1770688780
Name:DAILEY, MARK E (DC)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:E
Last Name:DAILEY
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:PO BOX 236
Mailing Address - Street 2:
Mailing Address - City:SPRINGVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35146-0236
Mailing Address - Country:US
Mailing Address - Phone:205-467-2500
Mailing Address - Fax:877-725-9071
Practice Address - Street 1:6310 US HIGHWAY 11
Practice Address - Street 2:
Practice Address - City:SPRINGVILLE
Practice Address - State:AL
Practice Address - Zip Code:35146-4063
Practice Address - Country:US
Practice Address - Phone:205-467-2500
Practice Address - Fax:877-725-9071
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-14
Last Update Date:2013-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1785111N00000X, 111NS0005X, 111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition
No111N00000XChiropractic ProvidersChiropractor
No111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51517445OtherBLUE CROSS
ALPR8534884000OtherCIGNA
ALVIVAOtherU71589
AL4410086OtherUNITED HEALTH CARE
AL0005598598OtherAETNA
AL0902AOtherBENESIGHT
AL4410086OtherUNITED HEALTH CARE
AL51517445OtherBLUE CROSS