Harry L. Wallace, D.C.

Chiropractor · Moline, IL

Individual Active NPI

NPI number 1578523734

Practice location

2001 52ND Ave
Suite 1
Moline, IL 61265-6368
Phone
(309) 764-4901

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NPI record

NPI
1578523734
Entity type
Individual (Type 1)
Enumeration date
March 23, 2006
Last updated
March 18, 2014
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Chiropractor Primary 111N00000X 04667 IL

About Dr. Wallace

Harry L. Wallace, D.C. is a healthcare provider registered in the NPI registry with the primary taxonomy Chiropractor (code 111N00000X). The practice location is 2001 52ND Ave, Suite 1, Moline, IL 61265-6368. The NPI number 1578523734 was assigned on March 23, 2006 and the record was last updated on March 18, 2014.

Dr. Wallace lists a license in the registry: #04667 (IL) 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 Harry L. Wallace, D.C.?

The NPI number is 1578523734.

What is the phone number of Dr. Wallace?

The phone number listed for the practice location is (309) 764-4901.

Where is Dr. Wallace located?

2001 52ND Ave, Suite 1, Moline, IL 61265-6368.

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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