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Beacon Medical Group, Inc.
Family Nurse Practitioner in Wakarusa, Indiana
NPI 1184641706

Beacon Medical Group, Inc. is a Family Nurse Practitioner based in South Bend, IN and is specialized in Family. Beacon Medical Group, Inc. practices in Wakarusa, IN. The NPI Number for Beacon Medical Group, Inc. is 1184641706 and holds a License No. (Indiana).

The current practice location address for Beacon Medical Group, Inc. is 207 N Elkhart St, Wakarusa, IN and can be reached out via phone at 574-862-2165 and via fax at 574-862-4112.

Location: 207 N Elkhart St, Wakarusa, IN, 46617-1924
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1184641706
Provider Name
Beacon Medical Group, Inc.
Credential
Provider Entity Type
Organization
Address
207 N Elkhart St, Wakarusa, IN, 46617-1924
Phone Number
574-862-2165
Fax Number
574-862-4112
Provider Enumeration Date
07/17/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ANTHEM BCBS 01 IN 000000110760
200019030A 05 IN
institution
Provider Business Practice Location Address Details
Address
207 N Elkhart St
City
Wakarusa
State
Indiana
Zip
46573-9729
Phone Number
574-862-2165
Fax Number
574-862-4112
person
Provider Business Mailing Address Details
Address
207 N Elkhart St
City
Wakarusa
State
Indiana
Zip
46573-9729
Phone Number
574-862-2165
Fax Number
574-862-4112
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
()
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
()
Definition
Definition to come...
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