Search › Indiana › 363LF0000X
Callie Bushong
NPI 1497421986 · on the registry since 2021
Practice
- Address
- 1215 Lawn Ave Ste 120
Elkhart, IN 46514 - Phone
- (574) 523-2733
- Fax
- (574) 523-3251
- Organisation at this address
- Beacon Medical Group, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 22
Additional practice sites
- 808 N 3rd St, Goshen, IN
- 621 Memorial Dr Ste 100, South Bend, IN
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 363LP2300X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-08-11
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