Individual provider · Type 1 NPI

Erik Jack Wallace, PA-C

Physician Assistant · Bethlehem, PA

NPI number 1063193084 Active

Practice location

801 Ostrum St
Bethlehem, PA 18015-1000

Call (866) 785-8537 Map

Mailing address

20 Highland View Ct
Easton, PA 18042-9792

Other practice locations

  • 20 Highland View Ct, Easton, PA 18042-9792 · (484) 619-5066

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Physician Assistant Primary 363A00000XMA065385 (PA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1063193084

Erik Jack Wallace, PA-C's National Provider Identifier is 1063193084, issued on Jul 31, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Bethlehem, PA. The record was last updated on Feb 12, 2024.