DR. JEFFREY NEIL WALLACE (NPI# 1003866419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003866419 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY NEIL WALLACE |
| Credential | D.C. |
| Practice Address |
330 140 Village Rd Unit 9a Westminster MD 21157-6127 |
| Practice Telephone | 4108768881 |
| Practice Fax Number | 4108486343 |
| Mailing Telephone | 4108768881 |
| Mailing Fax Number | 4108486343 |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | SO1780 | MD | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629089156 | Jeffrey S Wallace | Orthopaedic Surgery | 6800 Heritage Pkwy Ste 102, Rockwall, TX 75087-8746 | 2006-08-10 |
| 1821014838 | Jeffrey W Wallace | Dentist | 74 Grafton Rd, Townshend, VT 05353-0262 | 2006-07-14 |
| 1568499234 | Jeffrey A. Wallace I | Pharmacist | 5420 Lancaster Dr, Kaiser Permanente Pharmacy Administration, Brooklyn Heights, OH 44131-1832 | 2006-06-27 |
| 1679563928 | Jeffrey David Wallace | Chiropractor | 820 Charlevoix Dr, Suite 210, Grand Ledge, MI 48837-8188 | 2005-10-27 |
| 1548262108 | Jeffrey Leigh Wallace | Preventive Medicine | 411 N Section St, Fairhope, AL 36532-2649 | 2005-08-12 |
| 1538557012 | Jeffrey Eugene Wallace | Counselor | 400 S Jefferson St Ste 200, Spokane, WA 99204-3143 | 2015-01-06 |
| 1619392974 | Jeffrey Michael Wallace | Physician Assistant | 600 Caisson Hill Rd, Fort Riley, KS 66442-7037 | 2014-02-24 |
| 1306006796 | Jeffrey Robert Wallace | Student in an Organized Health Care Education/Training Program | 1365 Clifton Rd Ne, Building B Suite 2300, Atlanta, GA 30322-1013 | 2008-06-10 |
| 1649479171 | Jeffrey W Wallace | Physician Assistant | 112 Piper Hill Dr, First Floor, Saint Peters, MO 63376-1690 | 2007-07-14 |
| 1215027990 | Jeffrey Wallace | Internal Medicine | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2006-10-13 |
| Street Address |
330 140 VILLAGE RD UNIT 9A |
| City | WESTMINSTER |
| State | MD |
| Zip Code | 21157-6127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457300378 | Beth Janelle Henson | Chiropractor | 330 140 Village Rd, Unit 9a, Westminster, MD 21157-6127 | 2006-05-08 |
| 1891813366 | Jeffrey N. Wallace D.c.p.c. | Chiropractor | 330 140 Village Rd, Unit 9a, Westminster, MD 21157-6127 | 2007-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013523083 | Krista Stanzione | Counselor | 10 Distillery Drive, Ste 200, Westminster, MD 21157 | 2020-09-16 |
| 1487263893 | Jordan Butler | Counselor | Mcdaniel College Wellness Center, 2 College Hill, Westminster, MD 21157 | 2020-07-31 |
| 1558920991 | Ashton Nicole Burnham | Social Worker | 10 Distillery Dr Suite 200, Westminster, MD 21157 | 2019-06-10 |
| 1265903173 | Kathy Denise Omara | Speech-Language Pathologist | 125 North Court Street, Westminster, MD 21157 | 2018-12-17 |
| 1013419837 | Ericka M Walters | Social Worker | 77-81 E. Main Street, Suite 406, Westminster, MD 21157 | 2018-03-07 |
| 1982146353 | Access Carroll, LLC | Clinic/Center | 10 Distillery Drive, Suite 200, Westminster, MD 21157 | 2016-11-16 |
| 1619327293 | Bh Brightview Westminster Ridge Opco, LLC | Alzheimer Center (Dementia Center) | 505 High Acre Drive, Westminster, MD 21157 | 2016-06-15 |
| 1710362926 | Laura Coulter | Social Worker | 280 E Main St Ste 202, Westminster, MD 21157 | 2015-07-29 |
| 1205213436 | Carroll County Health Department | Public Health or Welfare | 290 S. Center Street, Westminster, MD 21157 | 2015-04-27 |
| 1972990489 | Ivy Smink | Registered Nurse | 10 Distillery Lane Suite 200, Carroll County Health Department Bureau of Prevention W, Westminster, MD 21157 | 2015-04-22 |
| Find all providers in zip 21157 | ||||
| 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 |
|---|---|---|---|---|
| 1851904023 | 100 Chiro Peterson Three LLC | Chiropractor | 5714 W 89th Ave, Westminster, CO 80031 | 2020-08-28 |
| 1598274524 | Robert Lizak | Chiropractor | 10430 Holland Pl, Westminster, CO 80021-3840 | 2017-09-21 |
| 1801273610 | Abigail Jackson | Chiropractor | 4 Amber Rd, Westminster, MA 01473-1149 | 2015-04-30 |
| 1477945830 | Sandy Harrison | Chiropractor | 9035 Wadsworth Pkwy Ste 3300, Westminster, CO 80021-8625 | 2015-02-23 |
| 1487064549 | Tri Do Nguyen | Chiropractor | 10292 Wembley Cir, Westminster, CA 92683-5847 | 2014-04-29 |
| 1558785634 | Nichelle Francavilla Gurule | Chiropractor | 11336 W 104th Ave, Westminster, CO 80021 | 2014-02-10 |
| 1588094353 | Daniel Francis | Chiropractor | 13648 Orchard Pkwy Unit 800, Westminster, CO 80023-9263 | 2013-11-15 |
| 1689919789 | Huy Doan Chiropractic, Inc | Chiropractor | 10512 Bolsa Ave Ste 101, Westminster, CA 92683-6727 | 2012-12-01 |
| 1043569171 | Lindsey Green | Chiropractor | 2861 W 120th Ave Ste 220, Westminster, CO 80234-2985 | 2012-09-05 |
| 1407144223 | Cheri Renee Hollstrom | Chiropractor | 3889 W 103rd Dr, Westminster, CO 80031-2453 | 2011-07-13 |
| Find all providers in WESTMINSTER | ||||
| City | WESTMINSTER |
| Zip Code | 21157 |
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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.