Organization · Type 2 NPI
Proactive Mso, LLC
Primary Care Clinic/Center · Indianapolis, IN
NPI number
1548743552
Active
Practice location
6448 W Ohio St
Indianapolis, IN 46214-3973
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...
2 other providers at this address
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About NPI 1548743552
Proactive Mso, LLC's National Provider Identifier is 1548743552, issued on Sep 14, 2018. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Indianapolis, IN. The record was last updated on Mar 25, 2022.