DR. MARK ALAN WALLACE DC
NPI 1942241096
Chiropractor in Collierville, TN

Active since June 09, 2006
2140 W POPLAR AVE, SUITE 107, COLLIERVILLE, TN 38017(901) 861-1212(901) 961-1283 Get Directions Write a Review

NPPES record last updated: September 29, 2010. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dr. Mark Alan Wallace Dc NPPES

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

DR. MARK ALAN WALLACE DC (NPI 1942241096) is an individual chiropractor in Collierville, Tennessee, licensed in Tennessee (DC0000002203) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1942241096
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. MARK ALAN WALLACECredential: DC
Location Address2140 W POPLAR AVE, SUITE 107Collierville, TN 38017-0624
Mailing Address2140 W Poplar Ave, Suite 107Collierville, TN 38017-0624 · (901) 861-1212 · Fax (901) 861-1283
Fax(901) 961-1283
Sole ProprietorYes
Enumeration DateJune 9, 2006
Last NPPES UpdateSeptember 29, 2010
✔ NPI 1942241096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Licenses✔ Licensed in TN · DC0000002203✔ Licensed in IL · 038010621
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.
2140 W POPLAR AVE, Collierville, TN 38017

Other Providers at the Same Location NPPES

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

Chiropractor
2140 W POPLAR AVE, SUITE 107
COLLIERVILLE, TN 38017

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 Mark Wallace's NPI number?

The NPI number for Mark Wallace is 1942241096. It was assigned to this individual provider in the NPPES registry on June 9, 2006.

Where is Mark Wallace located?

Mark Wallace practices at 2140 W Poplar Ave Suite 107, Collierville, TN 38017. The listed phone number is (901) 861-1212.

What is Mark 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 Mark Wallace was last updated on September 29, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.