Wallace, Shane Edward
Wallace, Shane Edward is an individual health care provider with primary practice located at 9909 Wamplers Lake Rd , Brooklyn MI 49230-9503. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Wallace, Shane Edward can be contacted via phone (517) 592-8208.Contact Information
Primary practice address
9909 Wamplers Lake Rd
Brooklyn MI 49230-9503
Phone: (517) 592-8208
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 2301011096 | Michigan |
Profile Details
| NPI number | 1639753239 |
|---|---|
| LBN Legal business name | Wallace, Shane Edward |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 10th, 2021 |
| Last updated | May 10th, 2021 - about 4 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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