Proactive Md | |
524 N Fairview St Bloomington IN 47404-3774 | |
(812) 645-1892 | |
Not Available |
Full Name | Proactive Md |
---|---|
Speciality | Clinic/center - Primary Care |
Location | 524 N Fairview St, Bloomington, 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 524 N Fairview St Bloomington IN 47404-3774 Ph: (812) 645-1892 |
NPI Number | 1427569367 |
---|---|
Provider Enumeration Date | 10/18/2017 |
Last Update Date | 03/25/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427569367 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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› Verified 7 days ago
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