Individual
DR. DEBRA ELLEN BOCKHORN
Active
Individual
DR. DEBRA ELLEN BOCKHORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35079788
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000250491
ANTHEM PROVIDER NUMBER
OH
05
—
2417021
—
OH
01
—
311422758010
TRICARE
—
01
—
7262257
AETNA PROVIDER NUMBER
OH
Enumeration date
04/20/2006
Last updated
02/26/2026
Update your record
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