Beacon Medical Group, Inc
Beacon Medical Group, Inc is an Aerospace Medicine Physician in South Bend, Indiana. Licensed in Indiana. Registered with an NPI since 2008.
- Licensed in
- IN
- In the registry since
- 2008
- Specialties on file
- 2
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2301 N Bendix Dr Ste 500South Bend, IN 46628-3486
Phone: (574) 647-1675
Fax: (574) 232-5595
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Aerospace Medicine Physician (primary) | Taxonomy 2083A0100X · Licence 01047560A (IN) |
|---|---|
| Family Nurse Practitioner | Taxonomy 363LF0000X · Licence 71000502A (IN) |
Record details
| NPI number | 1780856724 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jeffrey Costello — Vp/Cfo · (574) 647-3549 |
| Other names | Beacon Medical Group Occupational Health South Bend |
| NPI enumerated | March 31, 2008 |
| Last updated in NPPES | August 30, 2016 |
| Mailing address | 710 N Niles Ave, South Bend, IN 46617-1924 |
Other providers in South Bend
-
Dr. Eric Paul Wohlrab, MD
2301 N Bendix Dr Ste 500, South Bend, IN 46628-3486 · (574) 647-1675