| Proactive Md | |
|
2400 Sagamore Pkwy S Lafayette IN 47905-5116 | |
| (765) 772-4086 | |
| Not Available |
| Full Name | Proactive Md |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 2400 Sagamore Pkwy S, Lafayette, Indiana |
| Authorized Official Name and Position | Jan Hopkins (ASSOC. OPS MGR) |
| Authorized Official Contact | 8645010751 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Proactive Md 124 Allawood Ct Simpsonville SC 29681-6207 Ph: (864) 501-0751 | Proactive Md 2400 Sagamore Pkwy S Lafayette IN 47905-5116 Ph: (765) 772-4086 |
| NPI Number | 1790223048 |
|---|---|
| Provider Enumeration Date | 02/07/2017 |
| Last Update Date | 03/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790223048 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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