Provider Demographics
NPI:1861576191
Name:DAILEY CHIROPRACTIC WELLNESS CENTER
Entity type:Organization
Organization Name:DAILEY CHIROPRACTIC WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:DAILEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:205-467-2500
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:
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:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1785111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALU71589OtherVIVA
ALPR8534884000OtherCIGNA
AL51517445OtherBLUE CROSS
AL0005598598OtherAETNA
AL0902AOtherBENESIGHT
AL4410086OtherUNITED HEALTH CARE
AL51517445OtherBLUE CROSS