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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 interrelationship with other body systems.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Chiropractor |
111N00000X | 35 | Chiropractic |
| NPI Number | 1801245295 |
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| LBN Legal business name | WALLACE CHIROPRACTIC CLINIC | ||||||||
| Authorized official | MEGAN PEARSON - (OFFICE MANAGER/CREDENTIALING) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 06/07/2016 | ||||||||
| Last updated | 06/07/2016 - About 10 years ago | ||||||||
| Identifiers |
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WALLACE CHIROPRACTIC CLINIC
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WALLACE CHIROPRACTIC CLINIC