Provider Demographics
NPI:1861693962
Name:SOLUTIONS MEDICAL CONSULTING, LLC
Entity type:Organization
Organization Name:SOLUTIONS MEDICAL CONSULTING, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:BROADWAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-202-3860
Mailing Address - Street 1:2404 DUVAL DR
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71201-2986
Mailing Address - Country:US
Mailing Address - Phone:318-329-3933
Mailing Address - Fax:318-322-1134
Practice Address - Street 1:1495 FRAZIER RD
Practice Address - Street 2:
Practice Address - City:RUSTON
Practice Address - State:LA
Practice Address - Zip Code:71270-1632
Practice Address - Country:US
Practice Address - Phone:318-202-3860
Practice Address - Fax:318-202-5860
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-29
Last Update Date:2019-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA06192363L00000X
LA04743363L00000X
LA107598207PE0005X
LAAPO5233363L00000X
LA686283Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes283Q00000XHospitalsPsychiatric HospitalGroup - Multi-Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
No207PE0005XAllopathic & Osteopathic PhysiciansEmergency MedicineUndersea and Hyperbaric MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1705865Medicaid
LA1705865Medicaid