Active NPIIndividual providerSole proprietor

Dr. Mary Wallace, DC

Chiropractor in Amherst, New Hampshire

NPI Number1336497460
Practice location
292 State Route 101 Unit K2, Amherst, NH 03031-1730
Fax
—
Last updated
August 22, 2025

Mary Wallace is a Chiropractor based in Amherst, NH. Mary Wallace practices in Amherst, NH and has the professional credentials of DC. The NPI Number for Mary Wallace is 1336497460 and holds a License No. 903 (NH). The current practice location address for Mary Wallace is 292 State Route 101 Unit K2, Amherst, NH 03031-1730 and can be reached out via phone at 603-721-2162.

Provider Profile Details

NPI Number
1336497460
Provider Name
Mary Wallace
Credential
DC
Provider Entity Type
Individual
Gender
Female
Address
292 State Route 101 Unit K2, Amherst, NH 03031-1730
Phone Number
603-721-2162
Primary Taxonomy
Chiropractor · 111N00000X
Sole Proprietor
Yes
Other Names
Mary Clark, DC (Former Name)
Provider Enumeration Date
August 21, 2012
Last Update Date
August 22, 2025
Certification Date
August 22, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
292 State Route 101 Unit K2
Amherst, NH 03031-1730
Zip
03031-1730
Phone Number
603-721-2162
Amherst, NH 03031Get directions →

Provider Business Mailing Address Details

Address
6093 Sabal Creek Blvd
Port Orange, FL 32128-7139
City
Port Orange
State
FL
Zip
32128-7139
Phone Number
603-721-2162

License Information

License Number
903
License State
NH
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. Mary Wallace, DC?

The NPI number of Dr. Mary Wallace, DC is 1336497460. It was assigned on August 21, 2012 and is currently active in the NPPES registry.

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

Dr. Mary Wallace, DC is registered under the primary taxonomy Chiropractor (code 111N00000X), licensed in NH under license number 903.

Where does Dr. Mary Wallace, DC practice?

The practice location is 292 State Route 101 Unit K2, Amherst, NH 03031-1730. The office can be reached at 603-721-2162 (phone).

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 1336497460 directly on the NPPES registry website.

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