Jeffrey David Wallace, D.C.

Chiropractor · Grand Ledge, MI

Individual Active NPI

NPI number 1679563928

Practice location

820 Charlevoix Dr
Suite 210
Grand Ledge, MI 48837-8188
Phone
(517) 622-2273
Fax
(517) 622-2223

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NPI record

NPI
1679563928
Entity type
Individual (Type 1)
Enumeration date
October 27, 2005
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Chiropractor Primary 111N00000X 2301008560 MI

About Dr. Wallace

Jeffrey David Wallace, D.C. is a healthcare provider registered in the NPI registry with the primary taxonomy Chiropractor (code 111N00000X). The practice location is 820 Charlevoix Dr, Suite 210, Grand Ledge, MI 48837-8188. The NPI number 1679563928 was assigned on October 27, 2005 and the record was last updated on July 8, 2007.

Dr. Wallace lists a license in the registry: #2301008560 (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 Jeffrey David Wallace, D.C.?

The NPI number is 1679563928.

What is the phone number of Dr. Wallace?

The phone number listed for the practice location is (517) 622-2273.

Where is Dr. Wallace located?

820 Charlevoix Dr, Suite 210, Grand Ledge, MI 48837-8188.

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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