Wallace, Robert S
Wallace, Robert S is an individual health care provider with primary practice located at 7 Centre Dr Suite 10, Monroe NJ 08831-1565. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Wallace, Robert S can be contacted via phone (609) 662-4714.Contact Information
Primary practice address
7 Centre Dr Suite 10
Monroe NJ 08831-1565
Phone: (609) 662-4714
Fax: (609) 662-4708
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Chiropractic Providers / Chiropractor | 111N00000X | DC010144 | Pennsylvania |
Chiropractic Providers / Chiropractor | 111N00000X | 38MC00701200 | New Jersey |
Profile Details
NPI number | 1023132644 |
---|---|
LBN Legal business name | Wallace, Robert S |
Credentials | Doctor of Chiropractic (DC) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 19th, 2007 |
Last updated | Mar 16th, 2015 - about 10 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 | 1023132644 | NPPES |
Pennsylvania | Other | 173429 | MEDICARE PTAN |
Pennsylvania | Other | G300000110 | MEDICARE PTAN |
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