Brook S. Wallace Pa in Fuquay Varina - Chiropractor
Brook S. Wallace Pa - NPI 1306915731
Brook S. Wallace Pa is a Chiropractor in Fuquay Varina, North Carolina. Brook S. Wallace Pa practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Brook S. Wallace Pa is 1306915731. The last update date is 2008-03-07.
Brook S. Wallace Pa's current location address is 1000 N Main St, Fuquay Varina, North Carolina. You can contact this provider via phone number 9195770660 and fax number 9195772286. The mailing address for Brook S. Wallace Pa is 1000 N Main St, Fuquay Varina, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Brook S. Wallace Pa |
|---|---|
| Address | 1000 N Main St, Fuquay Varina, North Carolina |
| Phone Number | 9195770660 |
| Fax Number | 9195772286 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Wallace Stephen Brook |
| Credentials | D.C |
| Telephone Number | 9195770660 |
NPI Number Detail
| NPI Number | 1306915731 |
|---|---|
| Provider Enumeration Date | 2006-11-07 |
| Last Updated Date | 2008-03-07 |
Provider Mailing Address Detail
| Address | 1000 N Main St |
|---|---|
| City | Fuquay Varina |
| State | North Carolina (NC) |
| Post Code | 275262056 |
| Phone Number | 9195770660 |
| Fax Number | 9195772286 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 2625 |
|
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 |
|---|---|---|---|
| 0836G | NC | BCBS # | |
| 612942 | NC | ACN # | |
| 890836G | NC | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Brook S. Wallace Pa by the Centers for Medicare & Medicaid Services?
The Brook S. Wallace Pa has been issued the NPI (National Provider Identifier) 1306915731, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Brook S. Wallace Pa is located?
The Brook S. Wallace Pa is situated at the following address: 1000 N Main St, Fuquay Varina, NC, 275262056.
What is Brook S. Wallace Pa's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Brook S. Wallace Pa is Chiropractor, and the taxonomy classification code that categorizes this area of expertise is 111N00000X.
On what date was the 1306915731 assigned to Brook S. Wallace Pa?
The Brook S. Wallace Pa was issued its 1306915731 on 2006-11-07, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Brook S. Wallace Pa's details last updated?
The information pertaining to the Brook S. Wallace Pa, including its address, specialty, and other details, was most recently updated on 2008-03-07.
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