Type 2 organization · NPI 1023474152
PROACTIVE PROVIDER MANAGEMENT, LLC
225100000X · COLORADO SPRINGS, CO
Why this profile is appearing now
Observed change signals
No current public change signal is attached to this profile.
Reported classification
Taxonomies
| Code | Description | Source flag |
|---|---|---|
| 225100000X | 225100000X | Primary |
| 104100000X | 104100000X | Additional |
| 111N00000X | 111N00000X | Additional |
| 133N00000X | 133N00000X | Additional |
| 225X00000X | 225X00000X | Additional |
| 235Z00000X | 235Z00000X | Additional |
Taxonomy reporting does not establish licensure, board certification, expertise, or quality.
Longitudinal record
Observed change timeline
- 0 recorded field change s