Organization
BROOK S. WALLACE PA
Active
Other names
Chiropractic Partners
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BROOK STEPHEN WALLACE D.C (OWNER)
(919) 577-0660
Entity
Organization
Contact information
Practice address
1000 N MAIN ST, SUITE 101, FUQUAY VARINA, NC 27526-2056
(919) 577-0660
(919) 577-2286
Mailing address
1000 N MAIN ST, SUITE 101, FUQUAY VARINA, NC 27526-2056
(919) 577-0660
(919) 577-2286
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2625
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0836G
BCBS #
NC
01
—
612942
ACN #
NC
05
—
890836G
—
NC
Enumeration date
11/07/2006
Last updated
03/07/2008
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