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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1023132644 NPPES
Pennsylvania Other 173429 MEDICARE PTAN
Pennsylvania Other G300000110 MEDICARE PTAN

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