| 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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