Provider Demographics
NPI:1437151677
Name:BEHM, JOHN L (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:L
Last Name:BEHM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:2480 MATTERHORN DR
Mailing Address - Street 2:
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090-7612
Mailing Address - Country:US
Mailing Address - Phone:412-862-6778
Mailing Address - Fax:888-841-8567
Practice Address - Street 1:2480 MATTERHORN DR
Practice Address - Street 2:
Practice Address - City:WEXFORD
Practice Address - State:PA
Practice Address - Zip Code:15090-7612
Practice Address - Country:US
Practice Address - Phone:412-862-6778
Practice Address - Fax:888-841-8567
Is Sole Proprietor?:No
Enumeration Date:2005-06-01
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD060134-L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA080127326OtherRR MEDICARE RMC
PA15935110006Medicaid
PA0015935110003Medicaid
PA880238J8WMedicare ID - Type Unspecified