Provider Demographics
NPI:1013566967
Name:HUBER, SARAH CHRISTINA (PHYSICIAN ASSISTANT)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:CHRISTINA
Last Name:HUBER
Suffix:
Gender:F
Credentials:PHYSICIAN ASSISTANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:575 COAL VALLEY RD STE 374
Mailing Address - Street 2:
Mailing Address - City:CLAIRTON
Mailing Address - State:PA
Mailing Address - Zip Code:15025-3739
Mailing Address - Country:US
Mailing Address - Phone:412-469-7744
Mailing Address - Fax:412-469-7729
Practice Address - Street 1:575 COAL VALLEY RD STE 374
Practice Address - Street 2:
Practice Address - City:CLAIRTON
Practice Address - State:PA
Practice Address - Zip Code:15025-3739
Practice Address - Country:US
Practice Address - Phone:412-469-7744
Practice Address - Fax:412-469-7729
Is Sole Proprietor?:No
Enumeration Date:2019-09-04
Last Update Date:2023-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA1166916363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1031099010001Medicaid