Provider Demographics
NPI:1811982028
Name:BEEN, BETH A (DO)
Entity type:Individual
Prefix:
First Name:BETH
Middle Name:A
Last Name:BEEN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:1655 CROOKED OAK DR
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-4207
Mailing Address - Country:US
Mailing Address - Phone:717-569-2678
Mailing Address - Fax:717-569-1730
Practice Address - Street 1:1655 CROOKED OAK DR
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-4207
Practice Address - Country:US
Practice Address - Phone:717-569-2678
Practice Address - Fax:717-569-1730
Is Sole Proprietor?:No
Enumeration Date:2005-09-14
Last Update Date:2020-05-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAOS007327E207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAP002778OtherGATEWAY HEALTH PLAN
PA4349362OtherAETNA NON-HMO
PA1114564OtherAETNA HMO
PA03193801OtherCAPITAL BLUE CROSS
PA101503 S1QBOtherGEISINGER HEALTH PLAN
PAF29057OtherHEALTH AMERICA
PA0014442620001Medicaid
PA1363149OtherHIGHMARK BLUE SHIELD
PAP002778OtherGATEWAY HEALTH PLAN
PAF29057OtherHEALTH AMERICA