| Proactive Healthcare Services Llc | |
|
7023 Corner Creek Way Glenn Dale MD 20769-9472 | |
| (227) 218-8737 | |
| Not Available |
| Full Name | Proactive Healthcare Services Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 7023 Corner Creek Way, Glenn Dale, Maryland |
| Authorized Official Name and Position | Oluwabusuyi Ogunsola (PRESIDENT) |
| Authorized Official Contact | 2272188737 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Proactive Healthcare Services Llc 7023 Corner Creek Way Glenn Dale MD 20769-9472 Ph: (227) 218-8737 | Proactive Healthcare Services Llc 7023 Corner Creek Way Glenn Dale MD 20769-9472 Ph: (227) 218-8737 |
| NPI Number | 1124981592 |
|---|---|
| Provider Enumeration Date | 12/03/2025 |
| Last Update Date | 12/03/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124981592 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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