BEACON MEDICAL GROUP, INC. is an otolaryngology/facial plastic surgery otolaryngology in Elkhart, IN. The provider is an otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. BEACON MEDICAL GROUP, INC. NPI is 1295087500. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
1753 FULTON ST
ELKHART, IN
ZIP 46514-927
Phone: (574) 293-9448
Fax: (574) 293-9480
The provider's authorized official is Jeffrey P Costello .
The authorized official title is Cfo and has the following contact phone number (574) 647-3549.
The CLIA number assigned to this NPI record is 15D2057229 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 10/10/2012 and was last updated on 10/12/2017.