Wallace, Donald John

Wallace, Donald John is an sole proprietor health care provider with primary practice located at 127 Smithtown Blvd Ste 21 , Nesconset NY 11767-1736. He recently has only one registered license in Chiropractic Providers / Rehabilitation, which is considered as his primary health care specialty. Wallace, Donald John can be contacted via phone (631) 360-0170.

Contact Information

Primary practice address
127 Smithtown Blvd Ste 21 Nesconset NY 11767-1736
Phone: (631) 360-0170
Fax: (631) 361-6221
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Rehabilitation 111NR0400X X008217-1 New York

Profile Details

NPI number 1891856738
LBN Legal business name Wallace, Donald John
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 13th, 2006
Last updated Dec 9th, 2011 - about 13 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.

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