BROOK S. WALLACE PA


Address: 1000 N Main St, Suite 101, Fuquay Varina, NC 27526-2056
Phone: 9195770660

BROOK S. WALLACE PA (NPI# 1306915731) 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) 1306915731
Entity Type Organization
Organization Name BROOK S. WALLACE PA
Other Organization Name CHIROPRACTIC PARTNERS
Practice Address 1000 N Main St
Suite 101
Fuquay Varina
NC 27526-2056
Practice Telephone 9195770660
Practice Fax Number 9195772286
Mailing Telephone 9195770660
Mailing Fax Number 9195772286
Enumeration Date 2006-11-07
Last Update Date 2008-03-07
Authorized Official Name DR. BROOK STEPHEN WALLACE (OWNER)
Authorized Official Telephone 9195770660
Authorized Official Credential D.C
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 111N00000X Chiropractor 2625 NC Chiropractic Providers

Other Provider Identifier

State Issuer Identifier Type Code
NC 890836G 05
NC BCBS # 0836G 01
NC ACN # 612942 01

Other Provider/Organization Names

Other Name Type Code
Chiropractic Partners Doing Business As Name - Organization

Office Location

Street Address 1000 N MAIN ST
SUITE 101
City FUQUAY VARINA
State NC
Zip Code 27526-2056

Providers in the same location

NPI Name Taxonomy Address Enumeration
1780686014 Kenneth William Roach Ophthalmology 1000 N Main St, Suite #204, Fuquay Varina, NC 27526-2056 2005-05-31
1992108203 At Home Senior Services In Home Supportive Care 1000 N Main St, Suite 219, Fuquay Varina, NC 27526-2056 2014-09-30
1205978061 Michaele Lynn Worrix Counselor 1000 N Main St, Suite 202, Fuquay Varina, NC 27526-2056 2007-02-12
1881624989 Brook Stephen Wallace Chiropractor 1000 N Main St, Suite 101, Fuquay Varina, NC 27526-2056 2006-07-04

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1336782721 Leah C. Mcconkey Speech-Language Pathologist 305 Willow Grace Lane, Fuquay Varina, NC 27526 2019-10-18
1437617727 Katherine Venable Physician Assistant 1418 N Main Street, Fuquay - Vanna, NC 27526 2019-03-06
1114403599 Christine Newkirk Social Worker 344 Edgecroft Way, Fuquay Varina, NC 27526 2018-07-18
1851800536 Pamela Trapp Johnson Specialist 196 Knight Estates Cir, Fuquay Varina, NC 27526 2017-09-25
1376908228 Carrie Adeline Mitchell Social Worker 441 Leyland Cypress Ln, Fuquay Varina, NC 27526 2015-12-19
1235504267 Keyana Sharlene Williams Counselor 602 E Academy St #205, Fuquay Varina, NC 27526 2015-12-02
1124452974 Q1consultants, LLC Community/Behavioral Health 326 Daywood Creek Place, Fuquay, NC 27526 2013-08-29
1053759654 Ellen Marie Macri Developmental Therapist 119 South Fuquay Avenue, Fuquay-varina, NC 27526 2013-06-05
1811239726 Leslie H Yuan Gazdeck Dentist 1625 N Main St Ste 201, Fuquay Varina, NC 27526 2013-03-19
1093017725 Joanne Scannell Occupational Therapist 119 South Fuquay Ave, Fuquay Varina, NC 27526 2010-12-01
Find all providers in zip 27526

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
1174933055 Brooke Breitbach Chiropractor 1501 Lakestone Village Ln Ste 105, Fuquay Varina, NC 27526-4449 2014-05-01
1902153802 David Knox Chiropractor 419 Stranraer Ct, Fuquay Varina, NC 27526-6988 2012-08-09
1366427544 James Price Roper Chiropractor 137 N Main St, Fuquay Varina, NC 27526-1933 2005-12-12
1285256651 Power Chiropractic Pllc Chiropractor 1372 N Main St, Fuquay Varina, NC 27526-2617 2020-05-08
1841858206 Shelby Woodbury Chiropractor 1372 N Main St, Fuquay Varina, NC 27526-2617 2019-05-31
1689113557 Alexander Bringmann Chiropractor 1501 Lakestone Village Ln Ste 105, Fuquay Varina, NC 27526-4449 2017-02-13
1487063301 Brookview Wellness Chiropractor 137 N Main St, Fuquay Varina, NC 27526-1933 2014-08-05
1346315603 Fuquay Chiropractic and Wellness Center Chiropractor 1420 N Main St, Fuquay Varina, NC 27526-7226 2006-11-22
1992875298 Baird Chiropractic Inc Chiropractor 320 N Judd Pkwy Ne, Ste 102, Fuquay Varina, NC 27526-2624 2006-11-08
1881624989 Brook Stephen Wallace Chiropractor 1000 N Main St, Suite 101, Fuquay Varina, NC 27526-2056 2006-07-04
Find all providers in FUQUAY VARINA

Competitor

Search similar providers

City FUQUAY VARINA
Zip Code 27526

Improve Information

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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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