Proactive Md, Llc

LBN: Proactive Md, Llc
Proactive Md, Llc is an health care organization with primary practice located at 2148 Aztec Dr , Dyersburg TN 38024-1841. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pulmonary Diagnostics, which is considered as the primary health care specialty. Proactive Md, Llc can be contacted via phone (731) 589-6156, or through Tidwell, Phillip D via phone (731) 589-6156.

Contact Information

Primary practice address
2148 Aztec Dr Dyersburg TN 38024-1841
Phone: (731) 589-6156
Fax: (615) 467-8971
Website:
Map and Directions
Authorized official contact:
Name: Tidwell, Phillip D Registered Respiratory Therapist (RRT)
Phone: (731) 589-6156

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pulmonary Diagnostics 2279P1004X RRT0000000395 Tennessee

Profile Details

NPI number 1326346412
LBN Legal business name Proactive Md, Llc
DBA Doing business as
Authorized official Tidwell, Phillip D Registered Respiratory Therapist (RRT)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 14th, 2011
Last updated Jun 12th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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