Organization
PROACTIVE IMMEDIATE CARE CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY BROWN (OWNER)
(740) 574-8728
Entity
Organization
Contact information
Practice address
1661 STATE ROUTE 522 UNIT 2, WHEELERSBURG, OH 45694-8120
(740) 574-8728
(740) 574-8918
Mailing address
1661 STATE ROUTE 522 UNIT 2, WHEELERSBURG, OH 45694-8120
(740) 574-8728
(740) 574-8918
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
08/30/2019
Last updated
08/30/2019
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