Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Diann Wallace, DC

Individual provider Chiropractor · NPI 1083008148

Dr. Diann Wallace, DC is a Chiropractic in Hainesport, New Jersey. Graduated from Life Chiropractic College in 1998, 28 years ago. Accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
28
Trained at
Life Chiropractic College
Licensed in
NJ
In the registry since
2015
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

1368 Route 38
Hainesport, NJ 08036-2722
Phone: (856) 494-6789
Fax: (856) 494-6777
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 38MC00536700 (NJ)

Record details

NPI number1083008148
Entity typeIndividual (Type 1)
GenderFemale
Credentials DC
Sole proprietorNo
NPI enumeratedMarch 26, 2015
Last updated in NPPESJuly 22, 2026
Certification dateJuly 22, 2026
Mailing address1368 Route 38, Hainesport, NJ 08036-2722

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolLIFE CHIROPRACTIC COLLEGE
Graduated 1998 (28 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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