John R. Wallace, D.C.

Chiropractor · Muskegon, MI

Individual Active NPI

NPI number 1205835154

Practice location

994 W Broadway Ave
Muskegon, MI 49441-3522
Phone
(231) 755-3333
Fax
(231) 755-5891

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NPI record

NPI
1205835154
Entity type
Individual (Type 1)
Enumeration date
July 21, 2005
Last updated
November 29, 2011
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Chiropractor Primary 111N00000X JW004751 MI

About Dr. Wallace

John R. Wallace, D.C. is a healthcare provider registered in the NPI registry with the primary taxonomy Chiropractor (code 111N00000X). The practice location is 994 W Broadway Ave, Muskegon, MI 49441-3522. The NPI number 1205835154 was assigned on July 21, 2005 and the record was last updated on November 29, 2011.

Dr. Wallace lists a license in the registry: #JW004751 (MI) for Chiropractor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of John R. Wallace, D.C.?

The NPI number is 1205835154.

What is the phone number of Dr. Wallace?

The phone number listed for the practice location is (231) 755-3333.

Where is Dr. Wallace located?

994 W Broadway Ave, Muskegon, MI 49441-3522.

What is the taxonomy code for Dr. Wallace?

The primary taxonomy code is 111N00000X – Chiropractor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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