Wallace, Diann
Wallace, Diann is an individual health care provider with primary practice located at 103 Masonville Rd , Mount Laurel NJ 08054. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Wallace, Diann can be contacted via phone (856) 494-6789.Contact Information
Primary practice address
103 Masonville Rd
Mount Laurel NJ 08054
Phone: (856) 494-6789
Fax: (856) 494-6777
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 38MC00536700 | New Jersey |
Profile Details
| NPI number | 1083008148 |
|---|---|
| LBN Legal business name | Wallace, Diann |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 26th, 2015 |
| Last updated | Jul 2nd, 2018 - about 8 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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