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Contact Information

WILLIAM R WALLACE, D.C.
139 MORRISTOWN RD
BERNARDSVILLE, NJ07924-2606
 Phone: 908-221-0808
 Fax: 908-221-9024
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for WILLIAM R WALLACE · (Male)

NPI Number 1013087121
Status Active
Credentials D.C. (Doctor of Chiropractic)
Entity Individual
Enumeration date 11/08/2006
Last updated 07/08/2007 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 1922
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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