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DR. JOHN R WALLACE D.C.
NPI 1205835154
Chiropractor in Muskegon, MI

Active since July 21, 2005
994 W BROADWAY AVE, MUSKEGON, MI 49441(231) 755-3333(231) 755-5891 Get Directions Write a Review

NPPES record last updated: November 29, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. John R Wallace D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOHN R WALLACE D.C. (NPI 1205835154) is an individual chiropractor in Muskegon, Michigan, licensed in Michigan (JW004751) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1205835154
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. JOHN R WALLACECredential: D.C.
Location Address994 W BROADWAY AVEMuskegon, MI 49441-3522
Mailing Address994 W Broadway AveMuskegon, MI 49441-3522 · (231) 755-3333 · Fax (231) 755-5891
Phone(231) 755-3333
Fax(231) 755-5891
Sole ProprietorYes
Enumeration DateJuly 21, 2005
Last NPPES UpdateNovember 29, 2011
✔ NPI 1205835154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MI · JW004751
Definition
A provider qualified by 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.
994 W BROADWAY AVE, Muskegon, MI 49441
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Other Identifiers 2

Medicare UPINOF15031
Medicare ID-Type UnspecifiedOF15031MI

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WALLACE CHIROPRACTIC CENTER
Chiropractor
994 W BROADWAY AVE
MUSKEGON, MI 49441
Muskegon County (231) 755-3333
COASTAL CHIROPRACTIC OF MUSKEGON PC
Chiropractor
994 W BROADWAY AVE
MUSKEGON, MI 49441
Muskegon County (231) 755-3333
DR. MICHAEL HAUTAMAKI D.C.
Chiropractor
994 W BROADWAY AVE
MUSKEGON, MI 49441
Muskegon County (231) 755-3333

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Wallace's NPI number?

The NPI number for John Wallace is 1205835154. It was assigned to this individual provider in the NPPES registry on July 21, 2005.

Where is John Wallace located?

John Wallace practices at 994 W Broadway Ave, Muskegon, MI 49441. The listed phone number is (231) 755-3333.

What is John Wallace's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for John Wallace was last updated on November 29, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.