PROACTIVE MSO LLC NPI 1073066866

NPI Information

  • NPI: 1073066866
  • Provider Name: PROACTIVE MSO, LLC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Doing Business As: PROACTIVE MD MERRILLVILLE HEALTH CENTER
  • Address: 387 E 84TH DR
    MERRILLVILLE, IN
    ZIP 46410
  • Phone: (812) 645-1892

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NPI Details

PROACTIVE MSO, LLC is a primary care clinic center in Merrillville, IN. PROACTIVE MSO, LLC NPI is 1073066866. The provider is registered as an organization entity type.
The provider Is Doing Business As Proactive Md Merrillville Health Center.

The provider's business location address is:

387 E 84TH DR
MERRILLVILLE, IN
ZIP 46410-484
Phone: (812) 645-1892

The provider's authorized official is Jan Hopkins .
The authorized official title is Assoc. Ops Mgr and has the following contact phone number (864) 501-0751.

The enumeration date for this NPI number is 7/27/2016 and was last updated on 3/25/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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