Organization · Type 2 NPI
Proactive Mso, LLC
Primary Care Clinic/Center · Crawfordsville, IN
NPI number
1174169908
Active
Practice location
1720 Lafayette Rd Ste A
Crawfordsville, IN 47933-4603
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...
Another provider at this address
Other primary care clinic/center providers in Crawfordsville
About NPI 1174169908
Proactive Mso, LLC's National Provider Identifier is 1174169908, issued on Nov 27, 2019. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Crawfordsville, IN. The record was last updated on Mar 25, 2022.