Provider Demographics
NPI:1790223238
Name:WALLPE CHIROPRACTIC AND WELLNESS, LLC
Entity Type:Organization
Organization Name:WALLPE CHIROPRACTIC AND WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRANDON
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:WALLPE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:812-363-5634
Mailing Address - Street 1:473 N HUNTERSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:BATESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47006-9205
Mailing Address - Country:US
Mailing Address - Phone:812-363-5634
Mailing Address - Fax:
Practice Address - Street 1:473 N HUNTERSVILLE RD
Practice Address - Street 2:
Practice Address - City:BATESVILLE
Practice Address - State:IN
Practice Address - Zip Code:47006-9205
Practice Address - Country:US
Practice Address - Phone:812-363-5634
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-04
Last Update Date:2020-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08002927A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty