Wallace, John R
Wallace, John R is an sole proprietor health care provider with primary practice located at 994 W Broadway Ave , Muskegon MI 49441-3522. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Wallace, John R can be contacted via phone (231) 755-3333.Contact Information
Primary practice address
994 W Broadway Ave
Muskegon MI 49441-3522
Phone: (231) 755-3333
Fax: (231) 755-5891
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | JW004751 | Michigan |
Profile Details
| NPI number | 1205835154 |
|---|---|
| LBN Legal business name | Wallace, John R |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 21st, 2005 |
| Last updated | Nov 29th, 2011 - about 15 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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