Provider Demographics
NPI:1245600089
Name:THE CONSULTANT GROUP
Entity Type:Organization
Organization Name:THE CONSULTANT GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MNAGER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MUSTAF
Authorized Official - Middle Name:ABDIRAHMAN
Authorized Official - Last Name:HASSAN
Authorized Official - Suffix:
Authorized Official - Credentials:MR
Authorized Official - Phone:952-994-4402
Mailing Address - Street 1:1774 RIVERSIDE DR
Mailing Address - Street 2:
Mailing Address - City:SHAKOPEE
Mailing Address - State:MN
Mailing Address - Zip Code:55379-8515
Mailing Address - Country:US
Mailing Address - Phone:952-994-4402
Mailing Address - Fax:
Practice Address - Street 1:1774 RIVERSIDE DR
Practice Address - Street 2:
Practice Address - City:SHAKOPEE
Practice Address - State:MN
Practice Address - Zip Code:55379-8515
Practice Address - Country:US
Practice Address - Phone:952-994-4402
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-06
Last Update Date:2015-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)