Individual provider · Type 1 NPI

Stephen Stockton Wallace, DC

Chiropractor · Grove City, OH

NPI number 1053620591 Active

Practice location

3435 Farm Bank Way
Grove City, OH 43123-1974

Fax (614) 539-0554

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X4116 (OH)

Chiropractor: 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.

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About NPI 1053620591

Stephen Stockton Wallace, DC's National Provider Identifier is 1053620591, issued on Oct 1, 2010. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Grove City, OH. The record was last updated on Oct 1, 2010.