PROACTIVE MSO, LLC is a primary care clinic center in Indianapolis, IN. PROACTIVE MSO, LLC NPI is 1548743552. The provider is registered as an organization entity type.
The provider Other Name Is Proactive Md.
The provider's business location address is:
6448 W OHIO ST
INDIANAPOLIS, IN
ZIP 46214-973
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 (317) 593-5800.
The CLIA number assigned to this NPI record is 15D2156891 - practitioner other with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 9/14/2018 and was last updated on 3/25/2022.