Provider Demographics
NPI:1386616563
Name:ZEHR, BONNIE M (MD)
Entity type:Individual
Prefix:
First Name:BONNIE
Middle Name:M
Last Name:ZEHR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:160 NORTH POINT BOULEVARD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601
Mailing Address - Country:US
Mailing Address - Phone:717-569-6481
Mailing Address - Fax:717-569-5213
Practice Address - Street 1:160 NORTH POINT BOULEVARD
Practice Address - Street 2:SUITE 110
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601
Practice Address - Country:US
Practice Address - Phone:717-569-6481
Practice Address - Fax:717-569-5213
Is Sole Proprietor?:No
Enumeration Date:2006-02-02
Last Update Date:2007-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD050874L208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA24342 S1BXOtherGEISINGER HEALTH PLAN
PA5944445OtherAETNA NON-HMO
PA1070330OtherAMERIHEALTH MERCY HEALTH
PA0014575740001Medicaid
PA01908901OtherCAPITAL BLUE CROSS
PAG17326OtherHEALTH ASSURANCE
PA539719OtherHIGHMARK BLUE SHIELD
PA539837OtherAETNA HMO
PAP002657OtherGATEWAY HEALTH PLAN
PA539837OtherAETNA HMO
PA0014575740001Medicaid