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Search › Indiana › 363LP0200X

Jaclyn Fusco

NPI 1063113355 · on the registry since 2023

Practice

Address
100 Navarre Pl Ste 5550
South Bend, IN 46601
Phone
(574) 647-2550
Organisation at this address
Dr. Michael Englert
Beacon Medical Group
Beacon Medical Group Inc
Beacon Medical Group, Inc.
Beacon Medical Group, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
118

Registry record

Primary taxonomy
363LP0200X
363LP0200X
Also registered as
163W00000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-04-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana