Organization · Type 2 NPI
Proactive Mso, LLC
Primary Care Clinic/Center · Veedersburg, IN
NPI number
1073066056
Active
Practice location
981 E State St Ste A
Veedersburg, IN 47987-8026
Mailing address
124 Allawood Ct
Simpsonville, SC 29681-6207
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
About NPI 1073066056
Proactive Mso, LLC's National Provider Identifier is 1073066056, issued on Jul 26, 2016. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Veedersburg, IN. The record was last updated on Mar 25, 2022.