Individual
ROBERT S WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
7 CENTRE DR, SUITE 10, MONROE, NJ 08831-1565
(609) 662-4714
(609) 662-4708
Mailing address
7 CENTRE DR, SUITE 10, MONROE, NJ 08831-1565
(609) 662-4714
(609) 662-4708
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00701200
NJ
111N00000X
Chiropractor
DC010144
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
173429
MEDICARE PTAN
PA
01
—
G300000110
MEDICARE PTAN
NJ
Enumeration date
03/19/2007
Last updated
03/16/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us