DR. DAVID STUART WALLACE


Address: 2330 Highway 94 South Outer Rd, Saint Charles, MO 63303-8301
Phone: 6364982346

DR. DAVID STUART WALLACE (NPI# 1386868487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1386868487
Entity Type Individual
Full Name DR. DAVID STUART WALLACE
Credential D.C.
Practice Address 2330 Highway 94 South Outer Rd
Saint Charles
MO 63303-8301
Practice Telephone 6364982346
Mailing Telephone 6364982346
Enumeration Date 2007-04-12
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 111N00000X Chiropractor 006811 MO Chiropractic Providers

Other Provider Identifier

State Issuer Identifier Type Code
MO CIGNA 3391509 01
MO BLUECROSS BLUESHIELD 131625 01
MO UNITED HEALTHCARE 4400088 01

Other Providers DAVID WALLACE

NPI Name Taxonomy Address Enumeration
1700327061 David Wallace Student in an Organized Health Care Education/Training Program 24606 Mosquero Ln, Mission Viejo, CA 92691-4913 2017-03-19
1265743595 David R Wallace Jr. Radiology 200 W Arbor Dr # Mc0834, Department of Radiology, San Diego, CA 92102-0834 2010-07-01
1649343641 David Michael Wallace Chiropractor 112 W Grand Ave, Rainbow City, AL 35906-3233 2006-11-16
1932193604 David Wallace Anesthesiology 738 Golden Pheasant Dr, Draper, UT 84020-8454 2005-09-08
1386646206 David Allen Wallace Dentist 206 S Walker St, Princeton, WV 24740-2747 2005-08-11
1295736809 David B. Wallace Radiology 325 N Highland Ave, Provena Mercy Medical Center, Aurora, IL 60506-3811 2005-08-04
1679576276 David Alan Wallace Ophthalmology 11600 Wilshire Blvd, Ste 200, Los Angeles, CA 90025-1782 2005-05-27
1619596335 David Alexander Wallace Student in an Organized Health Care Education/Training Program 920 Madison Ave Ste 447, Memphis, TN 38103-3438 2020-04-13
1396364402 David Carter Wallace Student in an Organized Health Care Education/Training Program 620 Shadow Ln, Las Vegas, NV 89106-4119 2020-04-09
1720646672 David Wallace Physician Assistant 1 Hospital Plz, Stamford, CT 06902-3602 2019-06-04

Office Location

Street Address 2330 HIGHWAY 94 SOUTH OUTER RD
City SAINT CHARLES
State MO
Zip Code 63303-8301

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1083214787 Michael Frederick Pharmacist 2855 Veterans Memorial Parkway, (pharmacy), Saint Charles, MO 63303 2020-10-30
1710525639 Cheryl Ann O'dell Pharmacist Schnucks Pharmacy, 60 Harvester Square, St Charles, MO 63303 2019-12-11
1255821302 Melinda R Winfield Nurse Practitioner 1313 Park Ct, Saint Charles, MO 63303 2018-05-15
1467904839 Heather Lilledahl Speech-Language Pathologist 2800 Old Muegge Road, Saint Charles, MO 63303 2016-11-01
1437608312 Preferred Family Healthcare Counselor 1559 Old S. River Road, St.charles, MO 63303 2016-10-03
1487109146 Annette Patricia Davenport Nurse Practitioner 1551 Wall Street, Logistics Health Inc, Suite 100, Saint Charles, MO 63303 2016-08-23
1053762328 Sarah Biondo Speech-Language Pathologist 7204 Fountainview Circle, Ofallon, MO 63303 2016-06-28
1710331335 Lindsey Ann Eilers Counselor 1570 South Main, Saint Charles, MO 63303 2016-04-20
1174914600 Jacquelyn Michele Miller Pharmacy Technician 3881 Mexico Road, Saint Charles, MO 63303 2015-02-05
1164838132 Francelle Denise Neal Counselor 2480 Executive Dr Ste 111, Saint Charles, MO 63303 2014-07-10
Find all providers in zip 63303

Taxonomy Information

Taxonomy Code 111N00000X
Grouping Chiropractic Providers
Classification Chiropractor

Taxonomy Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1487212429 Apex Chiropractic LLC Chiropractor 302 S Highland St, Saint Charles, IA 50240-1519 2019-06-04
1891158226 Meagen Mateialona Chiropractor 115 S Saginaw St Ste 4, Saint Charles, MI 48655-1452 2016-04-02
1235590498 Colleen Burmeister Chiropractor 2025 Zumbehl Rd # 165, Saint Charles, MO 63303-2723 2016-03-16
1407245814 Chelsie Lee Arnold Chiropractor 20 Triad South Dr, Suite A, Saint Charles, MO 63304-3507 2015-01-22
1174949861 Candice Mathis Chiropractor 2061 Collier Corporate Pkwy, Saint Charles, MO 63303-6701 2014-03-05
1700221769 Cara Washburn Chiropractor 914 Hemsath Rd Ste 104a, Saint Charles, MO 63303-6582 2013-05-03
1336583962 The Center for Natural Health, LLC Chiropractor 918 Hemsath Rd Ste 102b, Saint Charles, MO 63303-5949 2013-04-25
1720326358 Amy Wicks Chiropractor 918 Hemsath Rd, Suite 102b, Saint Charles, MO 63303-5949 2013-01-16
1942547062 Glenn R. Ezell Chiropractor 2201 1st Capitol Dr Ste 101, Saint Charles, MO 63301-5805 2013-01-09
1578819645 Healthy Solutuions Chiropractor 5055 Highway N Ste 105, Saint Charles, MO 63304-8031 2012-07-26
Find all providers in SAINT CHARLES

Competitor

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City SAINT CHARLES
Zip Code 63303

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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