Provider Demographics
NPI:1225474315
Name:WHITE, SARAH MAXINE (DO)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:MAXINE
Last Name:WHITE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:MAXINE
Other - Last Name:BARTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1263 STATE ROUTE 40 WEST
Mailing Address - Street 2:PO BOX N
Mailing Address - City:CLAYSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15323-0513
Mailing Address - Country:US
Mailing Address - Phone:724-663-7731
Mailing Address - Fax:724-663-9022
Practice Address - Street 1:1263 STATE ROUTE 40 WEST
Practice Address - Street 2:PO BOX N
Practice Address - City:CLAYSVILLE
Practice Address - State:PA
Practice Address - Zip Code:15323-0513
Practice Address - Country:US
Practice Address - Phone:724-663-7731
Practice Address - Fax:724-663-9022
Is Sole Proprietor?:No
Enumeration Date:2013-05-15
Last Update Date:2016-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS017318207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine