Organization · Type 2 NPI
Proactive Mso, LLC
Primary Care Clinic/Center · New Carlisle, IN
NPI number
1275179541
Active
Practice location
5325 N Cougar Rd
New Carlisle, IN 46552-9505
Mailing address
86 Villa Rd Ste 100
Greenville, SC 29615-3052
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
About NPI 1275179541
Proactive Mso, LLC's National Provider Identifier is 1275179541, issued on Nov 21, 2019. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in New Carlisle, IN. The record was last updated on Sep 15, 2026.