Beacon Primary Care Llc | |
10967 Allisonville Rd Ste 110 Fishers IN 46038-2634 | |
(317) 599-5970 | |
Not Available |
Full Name | Beacon Primary Care Llc |
---|---|
Speciality | Family Medicine - Addiction Medicine |
Location | 10967 Allisonville Rd Ste 110, Fishers, Indiana |
Authorized Official Name and Position | Peter Donald Farr (OWNER) |
Authorized Official Contact | 3175597970 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Beacon Primary Care Llc 10967 Allisonville Rd Ste 110 Fishers IN 46038-2634 Ph: (317) 559-5970 | Beacon Primary Care Llc 10967 Allisonville Rd Ste 110 Fishers IN 46038-2634 Ph: (317) 599-5970 |
NPI Number | 1982155487 |
---|---|
Provider Enumeration Date | 10/19/2016 |
Last Update Date | 01/07/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982155487 | NPI | - | NPPES |
IN3378 | Other | IN | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
207QA0401X | Family Medicine - Addiction Medicine | (* (Not Available)) | Primary |
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› Verified 8 days ago
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