Timothy Mark Wallace in Phelan - Chiropractor
Timothy Mark Wallace - NPI 1063438307
Timothy Mark Wallace is a Chiropractor in Phelan, California. Timothy Mark Wallace practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Timothy Mark Wallace is 1063438307. The last update date is 2012-01-27.
Timothy Mark Wallace's current location address is 4357 Phelan Rd, Phelan, California. You can contact this provider via phone number 7608684481 and fax number 7608681879. The mailing address for Timothy Mark Wallace is 4357 Phelan Rd, Phelan, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Timothy Mark Wallace |
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Address | 4357 Phelan Rd, Phelan, California |
Phone Number | 7608684481 |
Fax Number | 7608681879 |
Sole Proprietor | Y |
Credentials | D.C. |
NPI Number Detail
NPI Number | 1063438307 |
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Provider Enumeration Date | 2006-07-13 |
Last Updated Date | 2012-01-27 |
Provider Mailing Address Detail
Address | 4357 Phelan Rd |
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City | Phelan |
State | California (CA) |
Post Code | 923717675 |
Phone Number | 7608684481 |
Fax Number | 7608681879 |
Provider's Primary Taxonomy Detail
Speciality | Chiropractor |
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Taxonomy | 111N00000X |
Licence No | 23400 |
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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What is the unique 10-digit identifier code issued to Timothy Mark Wallace by the Centers for Medicare & Medicaid Services?
The Timothy Mark Wallace has been assigned the NPI (National Provider Identifier) 1063438307 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Timothy Mark Wallace is geographically located?
The Timothy Mark Wallace is physically situated at the following location: 4357 Phelan Rd, Phelan, CA, 923717675.
What is Timothy Mark Wallace's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Timothy Mark Wallace is Chiropractor, and the corresponding taxonomy classification code for this specialized field is 111N00000X.
When did the Timothy Mark Wallace receive its 1063438307?
The Timothy Mark Wallace was issued its 1063438307 on 2006-07-13, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Timothy Mark Wallace most recently updated or revised?
The details related to Timothy Mark Wallace, including its address, specialty, and other relevant information, were last updated or revised on 2012-01-27.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY