David Stuart Wallace in Saint Charles - Chiropractor

David Stuart Wallace - NPI 1386868487

David Stuart Wallace is a Chiropractor in Saint Charles, Missouri. David Stuart Wallace practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for David Stuart Wallace is 1386868487. The last update date is 2007-07-08.

David Stuart Wallace's current location address is 2330 Highway 94 South Outer Rd, Saint Charles, Missouri. You can contact this provider via phone number 6364982346. The mailing address for David Stuart Wallace is 2330 Highway 94 South Outer Rd, Saint Charles, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name David Stuart Wallace
Address 2330 Highway 94 South Outer Rd, Saint Charles, Missouri
Phone Number 6364982346
Fax Number
Sole Proprietor Y
Credentials D.C.

NPI Number Detail

NPI Number 1386868487
Provider Enumeration Date 2007-04-12
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2330 Highway 94 South Outer Rd
City Saint Charles
State Missouri (MO)
Post Code 633038301
Phone Number 6364982346
Fax Number

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No 6811
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
131625 MO BLUECROSS BLUESHIELD
3391509 MO CIGNA
4400088 MO UNITED HEALTHCARE

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FAQs about David Stuart Wallace

What is the unique provider identifier assigned to David Stuart Wallace?

The David Stuart Wallace has been issued the NPI (National Provider Identifier) 1386868487 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Can you provide the David Stuart Wallace's physical address?

The David Stuart Wallace is physically located at 2330 Highway 94 South Outer Rd, in the city of Saint Charles, MO, with the postal code 633038301.

What is David Stuart Wallace's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The David Stuart Wallace's specialized field of practice is Chiropractor, and the corresponding taxonomy code that categorizes this area of specialization is 111N00000X.

When did David Stuart Wallace receive its 1386868487 assignment?

The David Stuart Wallace was assigned its 1386868487 on 2007-04-12, which is the date when this unique identifier was issued to the organization.

When was the information pertaining to David Stuart Wallace most recently updated or revised?

The details related to David Stuart Wallace, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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