Provider Demographics
NPI:1427043256
Name:BIKLE & BEIDLER DERM INC
Entity Type:Organization
Organization Name:BIKLE & BEIDLER DERM INC
Other - Org Name:CHAMBERSBURG DERMATOLOGY
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:717-264-9797
Mailing Address - Street 1:19 N 5TH AVENUE
Mailing Address - Street 2:
Mailing Address - City:CHAMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17201-1752
Mailing Address - Country:US
Mailing Address - Phone:717-264-9797
Mailing Address - Fax:717-264-7694
Practice Address - Street 1:19 N 5TH AVENUE
Practice Address - Street 2:
Practice Address - City:CHAMBERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17201-1752
Practice Address - Country:US
Practice Address - Phone:717-264-9797
Practice Address - Fax:717-264-7694
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-19
Last Update Date:2007-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA015155E207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA01461001OtherCAPITAL BLUE CROSS
PA053098OtherHIGHMARK BS
PA053098FPTMedicare ID - Type Unspecified
PA053098OtherHIGHMARK BS