Wallace, David Stuart
Wallace, David Stuart is an sole proprietor health care provider with primary practice located at 2330 Highway 94 South Outer Rd , Saint Charles MO 63303-8301. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Wallace, David Stuart can be contacted via phone (636) 498-2346.Contact Information
Primary practice address
2330 Highway 94 South Outer Rd
Saint Charles MO 63303-8301
Phone: (636) 498-2346
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 006811 | Missouri |
Profile Details
| NPI number | 1386868487 |
|---|---|
| LBN Legal business name | Wallace, David Stuart |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 12th, 2007 |
| 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 | 1386868487 | NPPES |
| Missouri | Other | 131625 | BLUECROSS BLUESHIELD |
| Missouri | Other | 3391509 | BLUECROSS BLUESHIELD |
| Missouri | Other | 4400088 | BLUECROSS BLUESHIELD |
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