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NPI Code Detail

MEDICARE: SARAH ANN UEBELHOER PA-C

MEDICARE: SARAH ANN UEBELHOER PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician Assistant015235NY

General Provider Information

NPI Number : 1528345469
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH ANN UEBELHOER PA-C
Provider Business Mailing Address
First Line : 95 EAST CHAUTAUQUA ST
Second Line : PO BOX 168
City : MAYVILLE
State : NY
Zip : 14757-0168
Country : US
Telephone Number : 716-753-7107
Fax Number : 716-753-5367
Provider Business Practice Location Address
First Line : 95 EAST CHAUTAUQUA ST
Second Line :
City : MAYVILLE
State : NY
Zip : 14757-0168
Country : US
Telephone Number : 716-753-7107
Fax Number : 716-753-5367
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2011
Last Update Date : 04/29/2014

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Directions to “ SARAH ANN UEBELHOER PA-C” Practice Location

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