Healthcare Provider Details

I. General information

NPI: 1861693962
Provider Name (Legal Business Name): SOLUTIONS MEDICAL CONSULTING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2007
Last Update Date: 03/07/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1495 FRAZIER RD
RUSTON LA
71270-1632
US

IV. Provider business mailing address

2404 DUVAL DR
MONROE LA
71201-2986
US

V. Phone/Fax

Practice location:
  • Phone: 318-202-3860
  • Fax: 318-202-5860
Mailing address:
  • Phone: 318-329-3933
  • Fax: 318-322-1134

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number06192
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number04743
License Number StateLA
# 3
Primary TaxonomyN
Taxonomy Code207PE0005X
TaxonomyUndersea and Hyperbaric Medicine (Emergency Medicine) Physician
License Number107598
License Number StateLA
# 4
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPO5233
License Number StateLA
# 5
Primary TaxonomyY
Taxonomy Code283Q00000X
TaxonomyPsychiatric Hospital
License Number686
License Number StateLA

VIII. Authorized Official

Name: MS. CINDY BROADWAY
Title or Position: BUSINESS MANAGER
Credential:
Phone: 318-202-3860