Wallace, David Michael
Wallace, David Michael is an sole proprietor health care provider with primary practice located at 112 W Grand Ave , Rainbow City AL 35906-3233. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Wallace, David Michael can be contacted via phone (256) 413-7749.Contact Information
Primary practice address
112 W Grand Ave
Rainbow City AL 35906-3233
Phone: (256) 413-7749
Fax: (256) 413-7718
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 929 | Alabama |
Profile Details
| NPI number | 1649343641 |
|---|---|
| LBN Legal business name | Wallace, David Michael |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 16th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649343641 | NPPES |
| Alabama | Other | 510-70458 | BLUE CROSS PROVIDER # |
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