Dr. Denver R Wallace
Chiropractor
430 South Elm Street
Bald Knob
, Arkansas 72010-1177
Dr. Denver R Wallace
Chiropractor
430 South Elm Street
Bald Knob
, Arkansas 72010-1177
(501) 724-5614
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About
Features
Specialties
- Chiropractor
Languages spoken
- English
Location
First Address
- Dr. Denver R Wallace
- 430 South Elm Street P.o. Box 1177
- Bald Knob, AR
- Zip : 72010-1177
- Fax : (501) 724-5614
- Phone : (501) 724-5614
Second Address
- Dr. Denver R Wallace
- 430 South Elm Street
- Bald Knob, AR
- Zip : 72010-1177
- Fax : (501) 724-5614
- Phone : (501) 724-5614
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 1319 | AR |
National Provider Identifier
| NPI | 1003889148 |
|---|---|
| Provider Name | Dr. Denver R Wallace |
| First Address | Bald Knob, AR 72010-1177 |
| Second Address | Bald Knob, AR 72010-1177 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/02/2006 |
| Last Update Date | 24/01/2008 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.