Organization · Type 2 NPI
Proactive Mso, LLC
Primary Care Clinic/Center · Terre Haute, IN
NPI number
1972011815
Active
Practice location
3495 S 4th St
Terre Haute, IN 47802-5501
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...
2 other providers at this address
Other primary care clinic/center providers in Terre Haute
- Illiana Internal Medicine, L.l.c.Primary Care Clinic/Center Terre Haute, IN NPI 1003962549
- Union Hospital IncPrimary Care Clinic/Center Terre Haute, IN NPI 1023027190
- Proactive Mso, LLCPrimary Care Clinic/Center Terre Haute, IN NPI 1457078321
- Grace Lee Walker MD PCPrimary Care Clinic/Center Terre Haute, IN NPI 1548560543
About NPI 1972011815
Proactive Mso, LLC's National Provider Identifier is 1972011815, issued on Jan 12, 2018. 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 Sep 15, 2026.