Organization
DARIN WALLACE CHIROPRACTIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARIN WADE WALLACE D.C. (OWNER)
(765) 932-5600
Entity
Organization
Contact information
Practice address
1520 N MAIN ST, RUSHVILLE, IN 46173-2105
(765) 932-5600
(765) 932-5530
Mailing address
1520 N MAIN ST, RUSHVILLE, IN 46173-2105
(765) 932-5600
(765) 932-5530
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08001985A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201053650
—
IN
Enumeration date
09/26/2011
Last updated
03/14/2012
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