Provider Demographics
NPI:1003811829
Name:BEE, HEIDI SUSAN (DO)
Entity Type:Individual
Prefix:
First Name:HEIDI
Middle Name:SUSAN
Last Name:BEE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:699 E STATE ST
Mailing Address - Street 2:
Mailing Address - City:SHARON
Mailing Address - State:PA
Mailing Address - Zip Code:16146-2057
Mailing Address - Country:US
Mailing Address - Phone:724-983-5583
Mailing Address - Fax:724-983-5536
Practice Address - Street 1:551 GREENVILLE RD
Practice Address - Street 2:
Practice Address - City:MERCER
Practice Address - State:PA
Practice Address - Zip Code:16137-5019
Practice Address - Country:US
Practice Address - Phone:724-662-4155
Practice Address - Fax:724-662-2352
Is Sole Proprietor?:No
Enumeration Date:2005-06-17
Last Update Date:2007-12-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAOS009631L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
H20784Medicare UPIN
PA039804Medicare PIN