PROACTIVE MSO, LLC is a primary care clinic center in Terre Haute, IN. PROACTIVE MSO, LLC NPI is 1972011815. The provider is registered as an organization entity type.
The provider Other Name Is Proactive Md.
The provider's business location address is:
3495 S 4TH ST
TERRE HAUTE, IN
ZIP 47802-501
Phone: (812) 220-4755
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 CLIA number assigned to this NPI record is 15D2144157 - practitioner other with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 1/12/2018 and was last updated on 3/25/2022.