Wallace, R. Larry
Wallace, R. Larry is an sole proprietor health care provider with primary practice located at 612 W Grand Ave , Artesia NM 88210-2054. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Wallace, R. Larry can be contacted via phone (505) 748-2700.Contact Information
Primary practice address
612 W Grand Ave
Artesia NM 88210-2054
Phone: (505) 748-2700
Fax: (505) 748-2700
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 1212 | New Mexico |
Profile Details
| NPI number | 1821167800 |
|---|---|
| LBN Legal business name | Wallace, R. Larry |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 6th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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.
Popular Providers
-
Witherspoon, Dee L
106 S 7Th St , Artesia NM 88210-1919 -
Buchakjian, Tara Lynne
2 Home Rd , Hatboro PA 19040-2026 -
Weinberg, Ross
12801 Darby Brook Ct Ste 102 , Woodbridge VA 22192-2497 -
Manolov, Manol
6905 E 96Th St Suite 600, Indianapolis IN 46250-4448 -
Martin, Elizabeth Hay
1166 Adams Ave , Huntington WV 25704-1612 -
Crosby, Bing G
4508 Outer Loop , Louisville KY 40219-3857 -
Wymer, Daniel L
11023 Gatewood Dr Ste 101 , Bradenton FL 34211-4945 -
Andrews, Thomas Mark
1108 S 13Th St , Artesia NM 88210-2670