Proactive Mso, Llc | |
4117 S 240 W Ste 200 Morocco IN 47963-8194 | |
(864) 501-0751 | |
Not Available |
Full Name | Proactive Mso, Llc |
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Speciality | Clinic/center - Primary Care |
Location | 4117 S 240 W Ste 200, Morocco, Indiana |
Authorized Official Name and Position | Jan Hopkins (ASSOC. OPS MANAGER) |
Authorized Official Contact | 8645010751 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Proactive Mso, Llc 124 Allawood Ct Simpsonville SC 29681-6207 Ph: (864) 501-0751 | Proactive Mso, Llc 4117 S 240 W Ste 200 Morocco IN 47963-8194 Ph: (864) 501-0751 |
NPI Number | 1669129201 |
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Provider Enumeration Date | 03/03/2022 |
Last Update Date | 03/03/2022 |
Identifier | Type | State | Issuer |
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1669129201 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Ibekie Foundation Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 117 E State St, Morocco, IN 47963 Phone: 219-743-8013 |