Healthcare Provider Details

I. General information

NPI: 1740874544
Provider Name (Legal Business Name): SECOND OPINION CONSULTING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2021
Last Update Date: 02/23/2021
Certification Date: 02/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

235 MAIN ST
PLATTE CITY MO
64079-8461
US

IV. Provider business mailing address

235 MAIN ST
PLATTE CITY MO
64079-8461
US

V. Phone/Fax

Practice location:
  • Phone: 816-914-9263
  • Fax:
Mailing address:
  • Phone: 816-914-9263
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251X00000X
TaxonomySupports Brokerage Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MELISSA MYERS
Title or Position: OWNER
Credential:
Phone: 816-787-9119