Individual
JACOB B WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
701 E COUNTY LINE RD STE 308, GREENWOOD, IN 46143-1072
(317) 859-8970
(317) 662-2302
Mailing address
111 NEW HAMPSHIRE AVE STE 2, PORTSMOUTH, NH 03801-2864
(330) 947-6021
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10003433A
IN
Other
Enumeration date
07/08/2021
Last updated
04/02/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us