Jacob B Wall, PA-C is a surgical physician assistant in Bloomington, IN with 3 years of experience. Jacob B Wall, PA-C NPI is 1932770005. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
415 S LANDMARK AVE
BLOOMINGTON, IN
ZIP 47403-003
Phone: (812) 333-7433
Fax: (812) 333-7435
The NPI 1932770005 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 7/8/2021 and was last updated on 1/30/2024.