| Brook S. Wallace Pa | |
|
1000 N Main St, Suite 101, Fuquay Varina, NC 27526-2056 | |
| (919) 577-0660 | |
| (919) 577-2286 |
| Full Name | Brook S. Wallace Pa |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1000 N Main St, Fuquay Varina, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306915731 | NPI | - | NPPES |
| 0836G | Other | NC | BCBS # |
| 612942 | Other | NC | ACN # |
| 890836G | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 2625 (North Carolina) | Primary |
| Provider Name | Brook S Wallace |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1881624989 PECOS PAC ID: 9537394267 Enrollment ID: I20131104001659 |
| Mailing Address | Practice Location Address |
|---|---|
| Brook S. Wallace Pa 1000 N Main St, Suite 101, Fuquay Varina, NC 27526-2056 Ph: (919) 577-0660 | Brook S. Wallace Pa 1000 N Main St, Suite 101, Fuquay Varina, NC 27526-2056 Ph: (919) 577-0660 |
Dr. Thomas Calvin Stephens, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3416 Piney Grove Wilbon Rd, Fuquay Varina, NC 27526 Phone: 919-510-1186 | |
Dr. Jill Miehe Currin, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1420 N Main St, Fuquay Varina, NC 27526 Phone: 919-567-0041 Fax: 919-567-0011 | |
Dr. Brooke Breitbach, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1501 Lakestone Village Ln Ste 105, Fuquay Varina, NC 27526 Phone: 919-577-2225 Fax: 919-577-2226 | |
Dr. Sean Hammonds, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 306 Theys Mill Way, Fuquay Varina, NC 27526 Phone: 330-978-1927 | |
Roper Chiropractic Clinic Pa Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 137 N Main St, Fuquay Varina, NC 27526 Phone: 919-577-2225 Fax: 919-577-2226 | |
Power Chiropractic Pllc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1372 N Main St, Fuquay Varina, NC 27526 Phone: 985-705-0668 |