Healthcare Provider Details

I. General information

NPI: 1689068736
Provider Name (Legal Business Name): SARAH HOCKER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2015
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9510 LINCOLN HWY STE 1
BEDFORD PA
15522-3760
US

IV. Provider business mailing address

9510 LINCOLN HWY STE 1
BEDFORD PA
15522-3760
US

V. Phone/Fax

Practice location:
  • Phone: 814-228-2030
  • Fax: 814-228-2370
Mailing address:
  • Phone: 814-228-2030
  • Fax: 814-228-2370

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberOS020609
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: