Individual provider · Type 1 NPI
Wallace C. Wade, DC
Chiropractor · Tampa, FL
NPI number
1306855663
Active
Practice location
12084 Anderson Rd
Tampa, FL 33625-5682
Fax (813) 265-3904
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | CH4075 (FL) |
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 1306855663
Wallace C. Wade, DC's National Provider Identifier is 1306855663, issued on Aug 5, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Tampa, FL. The record was last updated on Jul 8, 2007.