Provider Demographics
NPI:1699254805
Name:SADLER, BOBBI JEAN (PA-C)
Entity type:Individual
Prefix:
First Name:BOBBI
Middle Name:JEAN
Last Name:SADLER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1549
Mailing Address - Street 2:
Mailing Address - City:BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16003-1549
Mailing Address - Country:US
Mailing Address - Phone:724-283-0212
Mailing Address - Fax:724-283-2404
Practice Address - Street 1:131 E CUNNINGHAM ST
Practice Address - Street 2:
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16001-5903
Practice Address - Country:US
Practice Address - Phone:724-283-0212
Practice Address - Fax:724-283-2404
Is Sole Proprietor?:No
Enumeration Date:2018-08-08
Last Update Date:2019-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant