Provider Demographics
NPI:1063882975
Name:BIBLE, SONIA ELIZABETH (PA-C)
Entity type:Individual
Prefix:
First Name:SONIA
Middle Name:ELIZABETH
Last Name:BIBLE
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 1:9045 BRUCEVILLE RD STE 100
Mailing Address - Street 2:
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95758-5950
Mailing Address - Country:US
Mailing Address - Phone:916-479-9110
Mailing Address - Fax:916-226-2656
Practice Address - Street 1:9045 BRUCEVILLE RD STE 100
Practice Address - Street 2:
Practice Address - City:ELK GROVE
Practice Address - State:CA
Practice Address - Zip Code:95758-5950
Practice Address - Country:US
Practice Address - Phone:916-479-9110
Practice Address - Fax:916-226-2656
Is Sole Proprietor?:No
Enumeration Date:2015-10-05
Last Update Date:2023-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA9109202363A00000X, 363AM0700X
CA52901363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant