Provider Demographics
NPI:1649583022
Name:MORCHEID, SARAH JO (PA-C)
Entity Type:Individual
Prefix:MISS
First Name:SARAH
Middle Name:JO
Last Name:MORCHEID
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:129 WINETOWN RD
Mailing Address - Street 2:
Mailing Address - City:SLICKVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15684-1003
Mailing Address - Country:US
Mailing Address - Phone:724-331-7395
Mailing Address - Fax:
Practice Address - Street 1:251 E ANTIETAM ST
Practice Address - Street 2:
Practice Address - City:HAGERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21740-5724
Practice Address - Country:US
Practice Address - Phone:301-790-8750
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-14
Last Update Date:2010-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDC0004256363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical