Basic Information
| Provider Information | |||||||||
| NPI: | 1003811829 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BEE | ||||||||
| FirstName: | HEIDI | ||||||||
| MiddleName: | SUSAN | ||||||||
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| Credential: | DO | ||||||||
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| Mailing Information | |||||||||
| Address1: | 699 E STATE ST | ||||||||
| Address2: | |||||||||
| City: | SHARON | ||||||||
| State: | PA | ||||||||
| PostalCode: | 161462057 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7249835583 | ||||||||
| FaxNumber: | 7249835536 | ||||||||
| Practice Location | |||||||||
| Address1: | 551 GREENVILLE RD | ||||||||
| Address2: | |||||||||
| City: | MERCER | ||||||||
| State: | PA | ||||||||
| PostalCode: | 161375019 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7246624155 | ||||||||
| FaxNumber: | 7246622352 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/17/2005 | ||||||||
| LastUpdateDate: | 12/19/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | OS009631L | PA | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.