Provider Demographics
NPI:1821272238
Name:DAILEY CHIROPRACTIC INC
Entity Type:Organization
Organization Name:DAILEY CHIROPRACTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:R
Authorized Official - Last Name:DAILEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:330-426-2700
Mailing Address - Street 1:79 WEST MAIN STEET
Mailing Address - Street 2:
Mailing Address - City:E PALESTINE
Mailing Address - State:OH
Mailing Address - Zip Code:44413-1851
Mailing Address - Country:US
Mailing Address - Phone:330-426-2700
Mailing Address - Fax:330-426-9133
Practice Address - Street 1:79 WEST MAIN STEET
Practice Address - Street 2:
Practice Address - City:E PALESTINE
Practice Address - State:OH
Practice Address - Zip Code:44413-1851
Practice Address - Country:US
Practice Address - Phone:330-426-2700
Practice Address - Fax:330-426-9133
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-20
Last Update Date:2023-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3463111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2493109Medicaid
OH2493109Medicaid
DA9342511Medicare PIN