Organization · Type 2 NPI
Proactive Mso, LLC
Primary Care Clinic/Center · Terre Haute, IN
NPI number
1457078321
Active
Practice location
3250 Maple Ave
Terre Haute, IN 47804-1727
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
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About NPI 1457078321
Proactive Mso, LLC's National Provider Identifier is 1457078321, issued on Oct 21, 2022. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Terre Haute, IN. The record was last updated on Oct 21, 2022.