MEDICARE: DR. EDWARD JAMES DAILEY D.C.

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	111NR0200X	Radiology Chiropractor	1501	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518020171
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EDWARD JAMES DAILEY D.C.

Provider Business Mailing Address
First Line	:	PO BOX 36952
Second Line	:
City	:	CANTON
State	:	OH
Zip	:	44735-6952
Country	:	US
Telephone Number	:	330-498-9445
Fax Number	:	330-498-9447

Provider Business Practice Location Address
First Line	:	5395 GOVERNORS AVE NW
Second Line	:
City	:	CANTON
State	:	OH
Zip	:	44718-1473
Country	:	US
Telephone Number	:	330-498-9445
Fax Number	:	330-498-9447

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/18/2006
Last Update Date	:	11/16/2011

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