Denver R Wallace in Bald Knob - Chiropractor
Denver R Wallace - NPI 1003889148
Denver R Wallace is a Chiropractor in Bald Knob, Arkansas. Denver R Wallace practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Denver R Wallace is 1003889148. The last update date is 2008-01-24.
Denver R Wallace's current location address is 430 South Elm Street, Bald Knob, Arkansas. You can contact this provider via phone number 5017245614 and fax number 5017245614. The mailing address for Denver R Wallace is 430 South Elm Street, Bald Knob, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Denver R Wallace |
|---|---|
| Address | 430 South Elm Street, Bald Knob, Arkansas |
| Phone Number | 5017245614 |
| Fax Number | 5017245614 |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1003889148 |
|---|---|
| Provider Enumeration Date | 2006-02-09 |
| Last Updated Date | 2008-01-24 |
Provider Mailing Address Detail
| Address | 430 South Elm Street |
|---|---|
| City | Bald Knob |
| State | Arkansas (AR) |
| Post Code | 720101177 |
| Phone Number | 5017245614 |
| Fax Number | 5017245614 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 1319 |
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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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Post Comment/ Review Below
What is the unique provider identifier assigned to Denver R Wallace?
The Denver R Wallace has been issued the NPI (National Provider Identifier) 1003889148 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Denver R Wallace?
The Denver R Wallace is situated at 430 South Elm Street, in the city of Bald Knob, state of AR, with the zip code 720101177.
What is the Denver R Wallace's area of specialization and corresponding taxonomy classification?
The Denver R Wallace's specialty field is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their specialties.
On what date did the Denver R Wallace receive the assignment of its 1003889148 from the Centers for Medicare & Medicaid Services?
The Denver R Wallace was issued its 1003889148 by the Centers for Medicare & Medicaid Services on 2006-02-09.
As of what date were the Denver R Wallace's details last updated?
The information pertaining to the Denver R Wallace, including its address, specialty, and other details, was most recently updated on 2008-01-24.