NPI 1003866419

Jeffrey Neil Wallace, DC

Practitioner Chiropractor Westminster, MD

Practice location

Address: 330 140 Village Rd Unit 9a, Westminster, MD 21157-6127
Phone: (410) 876-8881
Fax: (410) 848-6343

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence SO1780 (MD)

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Registry record

NPI: 1003866419
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 May 2006
Record last updated: 8 Sep 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.