Individual
HOLLY ROSE BEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2314 SASSAFRAS ST STE 310, ERIE, PA 16502
(814) 456-6194
(814) 452-5777
Mailing address
2314 SASSAFRAS ST STE 310, ERIE, PA 16502-2721
(814) 456-6194
(814) 452-5777
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
OS019486
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103240095
—
PA
Enumeration date
04/18/2013
Last updated
09/30/2020
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