Company Information

MedPro Provider Solutions Inc

5814 REED RD

FORT WAYNE, IN 46835-3568

260-486-0833

angela.adams@medpro.com

Company Type	License #	Original Issue Date	Status	Status Date	Domicile State
Risk Purchasing Group	122486	08/07/2013	Active	08/07/2013	Indiana

Organization	Association Type	Organization Type	Begin Date	End Date
MEDICAL PROTECTIVE COMPANY (THE)	Risk Purchasing Group	Company	07/15/2013	-

Name	Associtation Type	Beg dte	End dte
JULIE M NYCUM	Risk Purchasing Grp-Agnt/Brkr	07/15/2013	-