Individual provider · Type 1 NPI

Diann Wallace, DC

Chiropractor · Hainesport, NJ

NPI number 1083008148 Active

Practice location

1368 Route 38
Hainesport, NJ 08036-2722

Call (856) 494-6789 Map

Fax (856) 494-6777

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X38MC00536700 (NJ)

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 1083008148

Diann Wallace, DC's National Provider Identifier is 1083008148, issued on Mar 26, 2015. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Hainesport, NJ. The record was last updated on Jul 22, 2026.