Individual
BETHANY PERRIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1811 CHARLTON CT, GOSHEN, IN 46526-6464
(574) 534-8200
(574) 807-9613
Mailing address
1811 CHARLTON CT, GOSHEN, IN 46526-6464
(574) 534-8200
(574) 807-9613
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02005143A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3000007455
—
IN
Enumeration date
06/11/2014
Last updated
01/29/2026
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