Individual
DR. DEBRA ELLEN BOCKHORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6551 CENTERVILLE BUSINESS PKWY STE 110, DAYTON, OH 45459-2696
(937) 291-6850
(937) 291-6896
Mailing address
PO BOX 933432, CLEVELAND, OH 44193-0039
(937) 641-3555
(937) 641-4528
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
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