Organization · Type 2 NPI
Proactive Mso, LLC
Primary Care Clinic/Center · Brazil, IN
NPI number
1174076145
Active
Practice location
501 E Jackson St
Brazil, IN 47834-2650
Fax (812) 420-1488
Mailing address
86 Villa Rd Ste 100
Greenville, SC 29615-3052
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | 01059956A (IN) |
Primary Care Clinic/Center: Definition to come...
2 other providers at this address
Other primary care clinic/center providers in Brazil
About NPI 1174076145
Proactive Mso, LLC's National Provider Identifier is 1174076145, issued on Jul 26, 2016. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Brazil, IN. The record was last updated on Sep 2, 2026.