David Michael Wallace in Rainbow City - Chiropractor
David Michael Wallace - NPI 1649343641
David Michael Wallace is a Chiropractor in Rainbow City, Alabama. David Michael Wallace practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for David Michael Wallace is 1649343641. The last update date is 2007-07-08.
David Michael Wallace's current location address is 112 W Grand Ave, Rainbow City, Alabama. You can contact this provider via phone number 2564137749 and fax number 2564137718. The mailing address for David Michael Wallace is 112 W Grand Ave, Rainbow City, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Michael Wallace |
|---|---|
| Address | 112 W Grand Ave, Rainbow City, Alabama |
| Phone Number | 2564137749 |
| Fax Number | 2564137718 |
| Sole Proprietor | Y |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1649343641 |
|---|---|
| Provider Enumeration Date | 2006-11-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 112 W Grand Ave |
|---|---|
| City | Rainbow City |
| State | Alabama (AL) |
| Post Code | 359063233 |
| Phone Number | 2564137749 |
| Fax Number | 2564137718 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 929 |
|
Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 510-70458 | AL | BLUE CROSS PROVIDER # |
Post Comment/ Review Below
What is the David Michael Wallace's 1649343641?
The David Michael Wallace's NPI (National Provider Identifier) Number is 1649343641. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where David Michael Wallace is physically located?
The David Michael Wallace is situated at the following address: 112 W Grand Ave, Rainbow City, AL 359063233.
What is David Michael Wallace's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The David Michael Wallace's specialized field of practice is Chiropractor, and the corresponding taxonomy code that categorizes this area of specialization is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1649343641 to David Michael Wallace?
The Centers for Medicare & Medicaid Services assigned the 1649343641 to David Michael Wallace on 2006-11-16.
As of what date were the details pertaining to David Michael Wallace last refreshed?
The information related to the David Michael Wallace, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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