WALLACE CHIROPRACTIC CLINIC NPI 1801245295

NPI Information

  • NPI: 1801245295
  • Provider Name: WALLACE CHIROPRACTIC CLINIC
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Address: 430 S. ELM ST
    BALD KNOB, AR
    ZIP 72010
  • Phone: (501) 724-5614

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NPI Details

WALLACE CHIROPRACTIC CLINIC is a chiropractor in Bald Knob, AR. The provider is 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. WALLACE CHIROPRACTIC CLINIC NPI is 1801245295. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

430 S. ELM ST
BALD KNOB, AR
ZIP 72010
Phone: (501) 724-5614

The provider's authorized official is Megan M Pearson .
The authorized official title is Office Manager/credentialing and has the following contact phone number (501) 724-5614.

The enumeration date for this NPI number is 6/7/2016 and was last updated on 6/7/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor1319ARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1350053970OTHERARKANSASMEDICARE RAIL ROAD PTAN
259306MEDICARE UPINARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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