Provider Demographics
NPI:1649236704
Name:BECKHARD, SHARON A (MD)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:A
Last Name:BECKHARD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:870 DORSET RD
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-3331
Mailing Address - Country:US
Mailing Address - Phone:610-867-5260
Mailing Address - Fax:610-867-5295
Practice Address - Street 1:2045 WESTGATE DR STE 203
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18017
Practice Address - Country:US
Practice Address - Phone:610-867-5260
Practice Address - Fax:610-867-5295
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-25
Last Update Date:2019-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD041974E2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA424993OtherHIGHMARK BLUE SHIELD
PA03193400OtherCAPITAL BLUE CROSS
PA424993Medicare PIN
PAF45158Medicare UPIN