MR. Jared Lee Wallace PA-C

  • NPI 1063746667
According to our database, the NPI number for MR. Jared Lee Wallace PA-C is 1063746667 and activated since 14 years ago. MR. Jared Lee Wallace PA-C is an individual provider who specializes in Physician Assistant, and the primary practice location is 43783 Kenai Spur Hwy, Kenai, AK 99611. You can also contact MR. Jared Lee Wallace PA-C via telephone number is (907) 283-9116. Provider NPI information was last updated on 05/25/2016.

Recently Active NPIs

Overview of MR. Jared Lee Wallace PA-C

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 09/29/2009
  • Last updated: 05/25/2016

Primary Scrop of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number: unknow
  • License State: unknow

Provider Mailing Address

  • Address: 43783 Kenai Spur Hwy
    Kenai, AK 99611
  • Phone: 907-283-9116
  • Fax: 907-283-9122

Provider Practice Location

  • Address: 43783 Kenai Spur Hwy
    Kenai, AK 99611
  • Phone: 907-283-9116
  • Fax: 907-283-9122

Scope of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number:
  • License State:
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 1020379
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: AK
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for MR. Jared Lee Wallace PA-C?
  • A: The npi number for MR. Jared Lee Wallace PA-C is 1063746667.
  • Q: What are MR. Jared Lee Wallace PA-C's specialties?
  • A: MR. Jared Lee Wallace PA-C's specialties are Physician Assistant and different specialities.
  • Q: What is the medical license for MR. Jared Lee Wallace PA-C?
  • A: The medical license number for MR. Jared Lee Wallace PA-C is unknow and issued in unknow in USA.
  • Q: Where is MR. Jared Lee Wallace PA-C practice location?
  • A: MR. Jared Lee Wallace PA-C is practicing at 43783 Kenai Spur Hwy, Kenai, AK 99611.
  • Q: How to contact MR. Jared Lee Wallace PA-C?
  • A: You can contact MR. Jared Lee Wallace PA-C via 907-283-9116.