Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1639753239 Individual Practitioner Male Practitioner

Dr. Shane Edward Wallace , DC

Chiropractor • Brooklyn, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Shane Wallace, DC is a certified Chiropractor practicing in Brooklyn, MI. With approximately 7 years of clinical experience since graduating from Life Chiropractic College in 2019, Dr. Wallace delivers high-quality medical care to the local community at 9909 WAMPLERS LAKE RD.

Dr. Wallace is affiliated with Tribe Chiropractic Pllc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

9909 Wamplers Lake Rd

Brooklyn, MI 492309503

Telephone 5175928208
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Life Chiropractic College

Graduation Year

2019

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Brooklyn, MI

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
7 Yrs -9.7 yrs vs City Avg
City Avg: 16.7 Yrs
State Avg: 22.9 Yrs
Regional Practice Density
7 Specialists

Practicing in Brooklyn, MI (3252 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wallace (7 Years) 7 Yrs
Brooklyn Specialty Average (16.7 Years) 16.7 Yrs

Medical Specialties & State Licenses

CMS Verified: 2021-05-10
Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License MI 2301011096

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Hospital & Practice Group Affiliations

Tribe Chiropractic Pllc

120 N Evans St, Tecumseh, MI 492861555

Phone: 5178151555

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1881771152

Doctor of Chiropractic

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 10, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location May 10, 2021

Registered at 9909 WAMPLERS LAKE RD, BROOKLYN, MI 492309503 (Tel: 5175928208)

📍
Updated Business Mailing Address May 10, 2021

Registered at 9909 WAMPLERS LAKE RD, BROOKLYN, MI 492309503 (Tel: 5175928208)

👤
Provider Name / Credentials Updated May 10, 2021

Recorded as SHANE WALLACE, DC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 10, 2021

Chiropractor (License #2301011096 in MI)

🟢
Initial NPI Registration & Enumeration May 10, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1639753239
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 10, 2021
Last Update: May 10, 2021
Sole Proprietor: No

Mailing Address

9909 Wamplers Lake Rd

Brooklyn, MI 492309503

Phone: 5175928208

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.