Provider Demographics
NPI:1598988347
Name:HELISE BICHEFSKY, DO
Entity Type:Organization
Organization Name:HELISE BICHEFSKY, DO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HELISE
Authorized Official - Middle Name:
Authorized Official - Last Name:BICHEFSKY
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:610-436-1584
Mailing Address - Street 1:32 RAFFAELA DRIVE
Mailing Address - Street 2:
Mailing Address - City:MALVERN
Mailing Address - State:PA
Mailing Address - Zip Code:19355
Mailing Address - Country:US
Mailing Address - Phone:610-436-1584
Mailing Address - Fax:610-436-9057
Practice Address - Street 1:32 RAFFAELA DRIVE
Practice Address - Street 2:
Practice Address - City:MALVERN
Practice Address - State:PA
Practice Address - Zip Code:19355
Practice Address - Country:US
Practice Address - Phone:610-436-1584
Practice Address - Fax:610-436-9057
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-10
Last Update Date:2007-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2222550001OtherKEYSTONE HEALTHPLAN EAST
PA0017243190003Medicaid
PA023408Medicare PIN