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

Shane Edward Wallace, DC

Individual provider Chiropractor · NPI 1639753239

Shane Edward Wallace, DC is a Chiropractic in Brooklyn, Michigan. Graduated from Life Chiropractic College in 2019, 7 years ago. Practices with Tribe Chiropractic PLLC, a 2-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
7
Trained at
Life Chiropractic College
Licensed in
MI
In the registry since
2021
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

9909 Wamplers Lake Rd
Brooklyn, MI 49230-9503
Phone: (517) 592-8208
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 2301011096 (MI)

Record details

NPI number1639753239
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorNo
NPI enumeratedMay 10, 2021
Last updated in NPPESMay 10, 2021
Certification dateMay 10, 2021
Mailing address9909 Wamplers Lake Rd, Brooklyn, MI 49230-9503

Medicare enrollment

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

Medicare specialtyCHIROPRACTIC
Medical schoolLIFE CHIROPRACTIC COLLEGE
Graduated 2019 (7 years in practice)
Group practice Tribe Chiropractic Pllc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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