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Proactive Mso, Llc
Primary Care Clinic/Center in Brazil, Indiana
NPI 1174076145

Proactive Mso, Llc is a Primary Care Clinic/Center based in Simpsonville, IN and is specialized in Primary Care. Proactive Mso, Llc practices in Brazil, IN. The NPI Number for Proactive Mso, Llc is 1174076145 and holds a License No. 01059956A (Indiana).

The current practice location address for Proactive Mso, Llc is 501 E Jackson St, Brazil, IN and can be reached out via phone at 812-420-1410 and via fax at 812-420-1488.

Location: 501 E Jackson St, Brazil, IN, 29681-6207
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1174076145
Provider Name
Proactive Mso, Llc
Credential
Provider Entity Type
Organization
Address
501 E Jackson St, Brazil, IN, 29681-6207
Phone Number
812-420-1410
Fax Number
812-420-1488
Provider Enumeration Date
07/26/2016
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
501 E Jackson St
City
Brazil
State
Indiana
Zip
47834-2650
Phone Number
812-420-1410
Fax Number
812-420-1488
person
Provider Business Mailing Address Details
Address
501 E Jackson St
City
Brazil
State
Indiana
Zip
47834-2650
Phone Number
812-420-1410
Fax Number
812-420-1488
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
01059956A (Indiana)
Definition
Definition to come...
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