Provider Demographics
NPI:1932120961
Name:COMSULT ENTERPRISES, LLC
Entity Type:Organization
Organization Name:COMSULT ENTERPRISES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RODNEY
Authorized Official - Middle Name:C
Authorized Official - Last Name:AMMERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:RPH, MS
Authorized Official - Phone:952-440-7707
Mailing Address - Street 1:15849 ISLAND VIEW RD NW
Mailing Address - Street 2:
Mailing Address - City:PRIOR LAKE
Mailing Address - State:MN
Mailing Address - Zip Code:55372-1604
Mailing Address - Country:US
Mailing Address - Phone:952-440-7707
Mailing Address - Fax:952-440-7708
Practice Address - Street 1:15849 ISLAND VIEW RD NW
Practice Address - Street 2:
Practice Address - City:PRIOR LAKE
Practice Address - State:MN
Practice Address - Zip Code:55372-1604
Practice Address - Country:US
Practice Address - Phone:952-440-7707
Practice Address - Fax:952-440-7708
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251F00000XAgenciesHome Infusion