MEDICARE: SOUTH MAIN CHIROPRACTIC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	2359	OH

General Provider Information

NPI Number	:	1013190198
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOUTH MAIN CHIROPRACTIC

Provider Business Mailing Address
First Line	:	1425 S MAIN ST
Second Line	:
City	:	NORTH CANTON
State	:	OH
Zip	:	44720-4245
Country	:	US
Telephone Number	:	330-499-2261
Fax Number	:	330-499-0164

Provider Business Practice Location Address
First Line	:	1425 S MAIN ST
Second Line	:
City	:	NORTH CANTON
State	:	OH
Zip	:	44720-4245
Country	:	US
Telephone Number	:	330-499-2261
Fax Number	:	330-499-0164

Authorized Official
Title or Position	:	OWNER
Name	:	MR. PAUL MICHAEL DUBOS
Credential	:	D.C.
Telephone Number	:	330-499-2261

Provider Enumeration Date	:	12/11/2007
Last Update Date	:	12/11/2007

Similar Medicare Providers

1174831218 — CANTON PHYSICAL MEDICARE, LLC
Practice Location Address:

2050 CUMMING HWY , SUITE 100
CANTON, GA
30114-8614

Practice Phone: 770-345-9600
Practice Fax:

1457313520 — DR. KRISTINE NICOLE KRAFT DC
Practice Location Address:

1425 S MAIN ST
NORTH CANTON, OH
44720-4245

Practice Phone: 330-244-9828
Practice Fax: 330-244-9829

1841232998 — JULIE MARIE THOMAS D.D.S.
Practice Location Address:

1437 S MAIN ST
NORTH CANTON, OH
44720-4245

Practice Phone: 330-244-9081
Practice Fax: 330-244-8885

1851409189 — DR. KUN WOO NAM M.D.
Practice Location Address:

1441 S MAIN ST
NORTH CANTON, OH
44720-4245

Practice Phone: 330-244-8888
Practice Fax: 330-244-8850

1093813727 — MR. LARRY A DICKEY L.M.T.
Practice Location Address:

1425 S MAIN ST
NORTH CANTON, OH
44720-4245

Practice Phone: 330-499-2261
Practice Fax: 330-499-0164

1265597421 — MRS. DEBORAH S BALDRIGE RN LPC
Practice Location Address:

1469 S MAIN ST
NORTH CANTON, OH
44720-4245

Practice Phone: 330-499-3065
Practice Fax: 330-499-2497

Directions to “SOUTH MAIN CHIROPRACTIC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.