Brook Stephen Wallace in Fuquay Varina - Chiropractor
Brook Stephen Wallace - NPI 1881624989
Brook Stephen Wallace is a Chiropractor in Fuquay Varina, North Carolina. Brook Stephen Wallace practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Brook Stephen Wallace is 1881624989. The last update date is 2007-07-09.
Brook Stephen Wallace'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 Stephen Wallace is 1000 N Main St, Fuquay Varina, North Carolina. To know further, please read the information below!
Provider Profile Detail
Provider Name | Brook Stephen Wallace |
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Address | 1000 N Main St, Fuquay Varina, North Carolina |
Phone Number | 9195770660 |
Fax Number | 9195772286 |
Sole Proprietor | N |
Credentials | DC |
NPI Number Detail
NPI Number | 1881624989 |
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Provider Enumeration Date | 2006-07-04 |
Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
Address | 1000 N Main St |
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City | Fuquay Varina |
State | North Carolina (NC) |
Post Code | 275262056 |
Phone Number | 9195770660 |
Fax Number | 9195772286 |
Provider's Primary Taxonomy Detail
Speciality | Chiropractor |
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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 |
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0836G | NC | BCBS PROVIDER NUMBER | |
890836G | NC | -- |
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What is the unique 10-digit identification code issued to Brook Stephen Wallace by the Centers for Medicare & Medicaid Services?
The Brook Stephen Wallace has been assigned the NPI (National Provider Identifier) 1881624989 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Brook Stephen Wallace's physical address?
The Brook Stephen Wallace is physically located at 1000 N Main St, in the city of Fuquay Varina, NC, with the postal code 275262056.
What is the Brook Stephen Wallace's area of specialization and corresponding taxonomy classification?
The Brook Stephen Wallace's specialty field is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their specialties.
When was the Brook Stephen Wallace's 1881624989 issued?
The Brook Stephen Wallace's 1881624989 was issued on 2006-07-04.
When was the Brook Stephen Wallace's information last updated?
The Brook Stephen Wallace's information was last updated on 2007-07-09.