PROACTIVE MSO LLC NPI 1689127474

NPI Information

  • NPI: 1689127474
  • Provider Name: PROACTIVE MSO, LLC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Other Name: PROACTIVE MD
  • Address: 2801 BERTHOLET BLVD STE 201
    VALPARAISO, IN
    ZIP 46383
  • Phone: (844) 458-2800

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NPI Details

PROACTIVE MSO, LLC is a primary care clinic center in Valparaiso, IN. PROACTIVE MSO, LLC NPI is 1689127474. The provider is registered as an organization entity type.
The provider Other Name Is Proactive Md.

The provider's business location address is:

2801 BERTHOLET BLVD STE 201
VALPARAISO, IN
ZIP 46383-959
Phone: (844) 458-2800

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: 3/30/2025

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