MEDICARE: HEIDI SUSAN BEE DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	OS009631L	PA

General Provider Information

NPI Number	:	1003811829
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEIDI SUSAN BEE DO

Provider Business Mailing Address
First Line	:	699 E STATE ST
Second Line	:
City	:	SHARON
State	:	PA
Zip	:	16146-2057
Country	:	US
Telephone Number	:	724-983-5583
Fax Number	:	724-983-5536

Provider Business Practice Location Address
First Line	:	551 GREENVILLE RD
Second Line	:
City	:	MERCER
State	:	PA
Zip	:	16137-5019
Country	:	US
Telephone Number	:	724-662-4155
Fax Number	:	724-662-2352

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/17/2005
Last Update Date	:	12/19/2007

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