Provider Demographics
NPI:1679945976
Name:BEHM FAMILY PRACTICE LLC
Entity type:Organization
Organization Name:BEHM FAMILY PRACTICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:L
Authorized Official - Last Name:BEHM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:412-862-6778
Mailing Address - Street 1:2480 MATTERHORN DR
Mailing Address - Street 2:
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090-7612
Mailing Address - Country:US
Mailing Address - Phone:412-862-6778
Mailing Address - Fax:
Practice Address - Street 1:2480 MATTERHORN DR
Practice Address - Street 2:
Practice Address - City:WEXFORD
Practice Address - State:PA
Practice Address - Zip Code:15090-7612
Practice Address - Country:US
Practice Address - Phone:412-862-6778
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-26
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty