institution
Beacon Medical Group, Inc.
Adult Health Nurse Practitioner in South Bend, Indiana
NPI 1518302264

Beacon Medical Group, Inc. is an Adult Health Nurse Practitioner based in South Bend, IN and is specialized in Adult Health. Beacon Medical Group, Inc. practices in South Bend, IN. The NPI Number for Beacon Medical Group, Inc. is 1518302264 and holds a License No. 71001587A (Indiana).

The current practice location address for Beacon Medical Group, Inc. is 621 Memorial Dr, South Bend, IN and can be reached out via phone at 574-647-7413 and via fax at 574-647-2471. You can also correspond with Beacon Medical Group, Inc. through the mailing address at 710 N NILES AVE, SOUTH BEND, IN - 46617-1924 (mailing address contact number: 574-647-1610).

Location: 621 Memorial Dr, South Bend, IN, 46617-1924
institution
Provider Profile Details
NPI Number
1518302264
Provider Name
Beacon Medical Group, Inc.
Credential
Provider Entity Type
Organization
Address
621 Memorial Dr, South Bend, IN, 46617-1924
Phone Number
574-647-7413
Fax Number
574-647-2471
Provider Enumeration Date
05/08/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
201164630A 05 IN
institution
Provider Business Practice Location Address Details
Address
621 Memorial Dr
City
State
Zip
46601-1063
Phone Number
574-647-7413
Fax Number
574-647-2471
person
Provider Business Mailing Address Details
Address
621 Memorial Dr
City
State
Zip
46601-1063
Phone Number
574-647-7413
Fax Number
574-647-2471
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
71001587A (Indiana)
Definition
Definition to come...
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