Organization
PROACTIVE MEDICAL CONSULTANTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNETTE NUSSBAUM R.N. (PRESIDENT)
(866) 603-5911
Entity
Organization
Contact information
Practice address
8759 STONEHOUSE DR, ELLICOTT CITY, MD 21043-1912
(410) 465-7548
(410) 465-8471
Mailing address
8759 STONEHOUSE DR, ELLICOTT CITY, MD 21043-1912
(410) 465-7548
(410) 465-8471
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
06/28/2017
Last updated
07/21/2022
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