Individual provider · Type 1 NPI
Daniel Leland Ellsworth
Driver · Spencer, IA
NPI number
1376298232
Active
Practice location
1709 35th Ave W Unit 1
Spencer, IA 51301-2550
Mailing address
1607 Mcnaughton Way
Spencer, IA 51301-2873
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | 514AG2680 (IA) |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
About NPI 1376298232
Daniel Leland Ellsworth's National Provider Identifier is 1376298232, issued on Feb 18, 2022. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Spencer, IA. The record was last updated on Feb 18, 2022.