Provider Demographics
NPI:1194011692
Name:PLAN B CONSULTING LLC
Entity type:Organization
Organization Name:PLAN B CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:JUNE
Authorized Official - Last Name:WEIDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-325-7716
Mailing Address - Street 1:15553 W GELDING DR
Mailing Address - Street 2:
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85379-6258
Mailing Address - Country:US
Mailing Address - Phone:702-325-7716
Mailing Address - Fax:623-218-6658
Practice Address - Street 1:15553 W GELDING DR
Practice Address - Street 2:
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85379-6258
Practice Address - Country:US
Practice Address - Phone:702-325-7716
Practice Address - Fax:623-218-6658
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-22
Last Update Date:2011-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier