PROACTIVE MD WI SC NPI 1871127092

NPI Information

NPI: 1871127092
Provider Name: PROACTIVE MD WI SC

Other Name: PROACTIVE MD

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
N4993 6TH DR
WESTFIELD, WI
ZIP 53964
Phone: (812) 645-1892
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PROACTIVE MD WI SC is a primary care clinic center in Westfield, WI. PROACTIVE MD WI SC NPI is 1871127092. The provider is registered as an organization entity type.
The provider Other Name Is Proactive Md.

The provider's business location address is:

N4993 6TH DR
WESTFIELD, WI
ZIP 53964-200
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 2/26/2020 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
1	261QP2300X	Clinic/Center	Primary Care			Yes

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: 5/5/2024

NPI Synchronization or Removal

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