BEACON MEDICAL GROUP, INC.

Family Medicine

Active Organization
NPI: 1639129117

Practice Address

900 I ST
La Porte, IN 46350

Phone: (219) 324-1700

Specialties

Specialty Code Primary License
Obstetrics & Gynecology 207V00000X No -
Nurse Practitioner 363L00000X No -
Family Medicine 207Q00000X Yes 01056419A (IN)

Frequently Asked Questions

NPI 1639129117 is the National Provider Identifier for BEACON MEDICAL GROUP, INC., a Family Medicine provider located in La Porte, IN. This NPI was enumerated on May 12, 2006.

Quick Facts

NPI
1639129117
Type
Organization
Enumerated
May 12, 2006
Last Updated
Mar 4, 2024

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