Mark Richard Wallace is a Overland Park, Kansas based male chiropractor who is specialized as General Chiropractor. Active license number of Mark Richard Wallace as General Chiropractor is 04348 in Kansas. Mark Richard Wallace is qualified as 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.
Complete Profile:
Mark Richard Wallace speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Chiropractor
Credentials:
DC
Gender:
Male
Practice Address:
9337 W 75th St, Overland Park, Kansas, 66204
Phone:
913-722-3200
Fax:
913-432-8392
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1932367539
NPI Enumeration Date:
30 May, 2008
NPI Last Update On:
10 Sep, 2008
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mark Richard Wallace are as mentioned below.
License Number
Specialization
State
Status
04348
Chiropractor
Kansas
Primary
6478
General Chiropractor
Missouri
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Mark Richard Wallace such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1063617918
Other
Kansas
NPI
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
9337 W 75th St, Overland Park, Kansas
Zip:
66204
Phone Number:
913-722-3200
Fax Number:
913-432-8392
Patients can reach Mark Richard Wallace at 9337 W 75th St, Overland Park, Kansas or can call to book an appointment on 913-722-3200. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.
Comments/ Reviews:
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