Terrance Wallace SC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1632 Issued in WI

Legal business name

TERRANCE WALLACE SC

Doing business as

WALLACE CHIROPRACTIC

Practice address

400 2ND St S
Suite 265
Hudson, WI 54016-4000

Phone

(715) 386-7700

NPI assigned

Apr 2, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Terrance Mark Wallace, DC

Title

Chiropractic

Phone

(715) 386-7700

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• WALLACE CHIROPRACTIC Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1270166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270166400000",
    "number": "1679898647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 2ND ST S",
            "address_2": "SUITE 265",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540164000",
            "telephone_number": "715-386-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 2ND ST S",
            "address_2": "SUITE 265",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540164000",
            "telephone_number": "715-386-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRANCE WALLACE SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-02",
        "last_updated": "2010-04-02",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "TERRANCE",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "CHIROPRACTIC",
        "authorized_official_telephone_number": "715-386-7700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "1632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38765600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WALLACE CHIROPRACTIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tareen Dermatology, P.a.
• Roxanne Evelyn Tauer, THERAPIST
• Susan A Tauzell, CRNA
• Daniel Lee Teece, DPT
• Madison A Teich, DO
• Oanh Constance Thai, MD
• The Body Shop Chiropractic LLC
• The MVMT Company LLC
• The Shurden Group
• Themidwestslp LLC

• Chiropractor in Hudson, WI
• Providers in Hudson, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.