Organization · Type 2 NPI
Proactive Mso, LLC
Primary Care Clinic/Center · Valparaiso, IN
NPI number
1689127474
Active
Practice location
2801 Bertholet Blvd Ste 201
Valparaiso, IN 46383-7959
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
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- Dunes Family ClinicPrimary Care Clinic/Center Valparaiso, IN NPI 1760919211
- Keith A. Gingerich, M.d., P.c.Primary Care Clinic/Center Valparaiso, IN NPI 1922296185
About NPI 1689127474
Proactive Mso, LLC's National Provider Identifier is 1689127474, issued on Jul 27, 2016. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Valparaiso, IN. The record was last updated on Sep 15, 2026.