PROACTIVE MSO, LLC is a primary care clinic center in Brazil, IN. PROACTIVE MSO, LLC NPI is 1174076145. The provider is registered as an organization entity type.
The provider Is Doing Business As Proactive Md Brazil Health Center.
The provider's business location address is:
501 E JACKSON ST
BRAZIL, IN
ZIP 47834-650
Phone: (812) 420-1410
Fax: (812) 420-1488
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 15D2065624 - practitioner other with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 7/26/2016 and was last updated on 3/25/2022.