Provider Demographics
NPI:1538457486
Name:BURNTSIDE CONSULTANTS LLC
Entity Type:Organization
Organization Name:BURNTSIDE CONSULTANTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMQUIST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:218-244-4520
Mailing Address - Street 1:1608 9TH AVE E
Mailing Address - Street 2:
Mailing Address - City:INTERNATIONAL FALLS
Mailing Address - State:MN
Mailing Address - Zip Code:56649-3002
Mailing Address - Country:US
Mailing Address - Phone:218-283-2269
Mailing Address - Fax:
Practice Address - Street 1:1608 9TH AVE E
Practice Address - Street 2:
Practice Address - City:INTERNATIONAL FALLS
Practice Address - State:MN
Practice Address - Zip Code:56649-3002
Practice Address - Country:US
Practice Address - Phone:218-283-2269
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-13
Last Update Date:2011-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty