Active NPIIndividual provider

Dr. Diann Wallace, DC

Chiropractor in Hainesport, New Jersey

NPI Number1083008148
Practice location
1368 Route 38, Hainesport, NJ 08036-2722
Fax
856-494-6777
Last updated
July 22, 2026

Diann Wallace is a Chiropractor based in Hainesport, NJ. Diann Wallace practices in Hainesport, NJ and has the professional credentials of DC. The NPI Number for Diann Wallace is 1083008148 and holds a License No. 38MC00536700 (NJ). The current practice location address for Diann Wallace is 1368 Route 38, Hainesport, NJ 08036-2722 and can be reached out via phone at 856-494-6789 and via fax at 856-494-6777.

Provider Profile Details

NPI Number
1083008148
Provider Name
Diann Wallace
Credential
DC
Provider Entity Type
Individual
Gender
Female
Address
1368 Route 38, Hainesport, NJ 08036-2722
Phone Number
856-494-6789
Fax Number
856-494-6777
Primary Taxonomy
Chiropractor · 111N00000X
Sole Proprietor
No
Provider Enumeration Date
March 26, 2015
Last Update Date
July 22, 2026
Certification Date
July 22, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
1368 Route 38
Hainesport, NJ 08036-2722
Zip
08036-2722
Phone Number
856-494-6789
Fax Number
856-494-6777
Hainesport, NJ 08036Get directions →

Provider Business Mailing Address Details

Address
1368 Route 38
Hainesport, NJ 08036-2722
City
Hainesport
State
NJ
Zip
08036-2722
Phone Number
856-494-6789
Fax Number
856-494-6777

License Information

License Number
38MC00536700
License State
NJ
Taxonomy
Chiropractor · 111N00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Diann Wallace, DC?

The NPI number of Dr. Diann Wallace, DC is 1083008148. It was assigned on March 26, 2015 and is currently active in the NPPES registry.

What is the specialty of Dr. Diann Wallace, DC?

Dr. Diann Wallace, DC is registered under the primary taxonomy Chiropractor (code 111N00000X), licensed in NJ under license number 38MC00536700.

Where does Dr. Diann Wallace, DC practice?

The practice location is 1368 Route 38, Hainesport, NJ 08036-2722. The office can be reached at 856-494-6789 (phone) or 856-494-6777 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1083008148 directly on the NPPES registry website.

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