Organization · Type 2 NPI
Proactive Mso, LLC
Primary Care Clinic/Center · Vincennes, IN
NPI number
1326577396
Active
Practice location
1602 Upper 11th St
Vincennes, IN 47591-4820
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...
Another provider at this address
Other primary care clinic/center providers in Vincennes
About NPI 1326577396
Proactive Mso, LLC's National Provider Identifier is 1326577396, issued on Jun 5, 2017. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Vincennes, IN. The record was last updated on Sep 15, 2026.