Wayne Bradley Wallace, D.C.

Chiropractor · Johnstown, PA

Individual Active NPI

NPI number 1487839874

Practice location

638 Ferndale Ave
Johnstown, PA 15905-3946
Phone
(814) 288-2288
Fax
(814) 288-2218

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NPI record

NPI
1487839874
Entity type
Individual (Type 1)
Enumeration date
January 3, 2008
Last updated
January 3, 2008
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Chiropractor Primary 111N00000X DC007224L PA

About Dr. Wallace

Wayne Bradley Wallace, D.C. is a healthcare provider registered in the NPI registry with the primary taxonomy Chiropractor (code 111N00000X). The practice location is 638 Ferndale Ave, Johnstown, PA 15905-3946. The NPI number 1487839874 was assigned on January 3, 2008 and the record was last updated on January 3, 2008.

Dr. Wallace lists a license in the registry: #DC007224L (PA) 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 Wayne Bradley Wallace, D.C.?

The NPI number is 1487839874.

What is the phone number of Dr. Wallace?

The phone number listed for the practice location is (814) 288-2288.

Where is Dr. Wallace located?

638 Ferndale Ave, Johnstown, PA 15905-3946.

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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