| Wallace Chiropractic Clinic Llc | |
|
430 S Elm St, Bald Knob, AR 72010 | |
| (501) 724-5614 | |
| Not Available |
| Full Name | Wallace Chiropractic Clinic Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 430 S Elm St, Bald Knob, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407327604 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Denver R Wallace |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1003889148 PECOS PAC ID: 4284896085 Enrollment ID: I20120424000106 |
| Mailing Address | Practice Location Address |
|---|---|
| Wallace Chiropractic Clinic Llc Po Box 1177, Bald Knob, AR 72010-1177 Ph: (501) 724-5614 | Wallace Chiropractic Clinic Llc 430 S Elm St, Bald Knob, AR 72010 Ph: (501) 724-5614 |
Dr. Denver R Wallace, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 430 South Elm Street, Bald Knob, AR 72010 Phone: 501-724-5614 Fax: 501-724-5614 | |
Moore Chiropractic Center, P.a. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3609 Highway 367 N, Bald Knob, AR 72010 Phone: 501-724-2202 | |
Wallace Chiropractic Clinic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 430 S. Elm St, Bald Knob, AR 72010 Phone: 501-724-5614 | |
Dr. Phillip Moore, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3609 Highway 367 N, Bald Knob, AR 72010 Phone: 501-724-2202 Fax: 501-724-2202 | |
Dr. Taylor Wallace, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 430 South Elm Street, Bald Knob, AR 72010 Phone: 501-724-5614 Fax: 501-724-5614 |