WILLIAM J WALLACE JR. (NPI# 1518500834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518500834 |
| Entity Type | Individual |
| Full Name | WILLIAM J WALLACE JR. |
| Credential | DC |
| Practice Address |
22415 Market St Apt 1406 Cornelius NC 28031-3028 |
| Practice Telephone | 2483317950 |
| Enumeration Date | 2019-10-18 |
| Last Update Date | 2019-10-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 5077 | NC | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851740609 | William Robert Wallace | Internal Medicine | 20828 W Deer Ridge Dr, Warrenton, MO 63383-6548 | 2016-06-11 |
| 1093143745 | William Dean Wallace | Pathology | 747 W 4170 S, Murray, UT 84123-1364 | 2013-10-16 |
| 1255765194 | William Wallace | Counselor | 318 S Oak, California, MO 65018 | 2013-08-28 |
| 1598028474 | William Todd Wallace | Physical Therapist | 8225 Coyote Trl, Texarkana, TX 75503-9657 | 2012-06-16 |
| 1184842627 | William Arthur Wallace Jr. | Surgery | 1679 Eagle Harbor Pkwy, Suite C, Fleming Island, FL 32003-4815 | 2007-04-22 |
| 1013087121 | William R Wallace | Chiropractor | 139 Morristown Rd, Bernardsville, NJ 07924-2606 | 2006-11-08 |
| 1508880493 | William C Wallace | Physical Therapist | 1113 N Castle Heights Ave, Suite D, Lebanon, TN 37087-5640 | 2006-07-26 |
| 1437184017 | William H. Wallace | Legal Medicine | 1421 N State St # St.1, Ste. 504, Jackson, MS 39202-1658 | 2006-07-11 |
| 1225087562 | William E Wallace | Surgery | 2000 Ben Merritt Dr, Suite B, Decatur, TX 76234-3848 | 2006-05-06 |
| 1528670361 | William Lee Wallace | Pharmacist | 308 S Main St, Malvern, AR 72104-3737 | 2020-08-22 |
| Street Address |
22415 MARKET ST APT 1406 |
| City | CORNELIUS |
| State | NC |
| Zip Code | 28031-3028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144827221 | Jessica Leigh Akbari | Behavior Technician | 16915 Liverpool Pkwy. Suite B, Cornelius, NC 28031 | 2020-10-02 |
| 1548871569 | Aalasa Brooks | Behavior Technician | 16915 Liverpool Pkwy, Suite B, Cornelius, NC 28031 | 2020-08-13 |
| 1366053381 | Mary-clara Pearl Mcalister | Behavior Technician | 16915 Liverpool Parkway, Suite B, Cornelius, NC 28031 | 2020-08-13 |
| 1851926075 | Cherie Torrence | Acupuncturist | 16930 W. Catawba Ave 203, Cornelius, NC 28031 | 2020-03-09 |
| 1154970481 | 100 Percent Chiropractic Padilla, LLC | Chiropractor | 19722 One Norman Drive, Suite 210, Cornelius, NC 28031 | 2019-09-09 |
| 1528628526 | O'brien and West, Dmd Viii, Pllc | Dentist | 19911 Zion Ave Bldg D, Ste. #d4, Cornelius, NC 28031 | 2019-06-20 |
| 1548775182 | Gretchen Anthony | Social Worker | 17105 Kenton Drive, Suite 201c, Cornelius, NC 28031 | 2017-12-05 |
| 1669842076 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 21720 Catawba Ave, Cornelius, NC 28031 | 2015-09-28 |
| 1518336296 | Special Touch Living | Clinic/Center | 11262 Heritage Green Drive, Cornelius, NC 28031 | 2015-09-23 |
| 1568830917 | Michelle Rene Skaggs | Occupational Therapist | 9075 Rosalyn Glen Rd, Cornelius, NC 28031 | 2015-09-02 |
| Find all providers in zip 28031 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396360210 | Urban Health Chiropractic LLC | Chiropractor | 1610 N Adair St Ste D, Cornelius, OR 97113-8832 | 2020-06-16 |
| 1548806706 | Optimize Chiropractic, Pllc | Chiropractor | 19109 W Catawba Ave Ste 100, Cornelius, NC 28031-5611 | 2019-11-22 |
| 1154970481 | 100 Percent Chiropractic Padilla, LLC | Chiropractor | 19722 One Norman Drive, Suite 210, Cornelius, NC 28031 | 2019-09-09 |
| 1578078861 | Jannette Rodriguez | Chiropractor | 19109 W Catawba Ave Ste 106, Cornelius, NC 28031-5612 | 2017-12-07 |
| 1801306717 | Benjamin Haynes | Chiropractor | 19315 W Catawba Ave Ste 100, Cornelius, NC 28031-5637 | 2017-10-05 |
| 1538527759 | Christopher Davis | Chiropractor | 20420 W Catawba Ave, Cornelius, NC 28031-5259 | 2016-02-02 |
| 1124385844 | Eric Wayne Goodman | Chiropractor | 18047 W Catawba Ave Ste A, Cornelius, NC 28031-5663 | 2012-04-19 |
| 1538465414 | Jennifer D Smith | Chiropractor | 20124 W Catawba Ave Ste B, Cornelius, NC 28031-4078 | 2011-02-10 |
| 1235469412 | Heymi Hamlin | Chiropractor | 1250 Baseline St., Cornelius, OR 97113 | 2010-01-11 |
| 1215196381 | Acuspine of Lake Norman | Chiropractor | 18047 W Catawba Ave Ste E, Cornelius, NC 28031-5663 | 2008-06-04 |
| Find all providers in CORNELIUS | ||||
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| 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.