Individual provider · Type 1 NPI

Ethan Young Bird

Driver · Bismarck, ND

NPI number 1699539098 Active

Practice location

1308 Elbowood Ln
Bismarck, ND 58503-5712

Fax (701) 751-2274

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000XYOU964744 (ND)

Driver: A person employed to operate a motor vehicle as a carrier of persons or property.

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About NPI 1699539098

Ethan Young Bird's National Provider Identifier is 1699539098, issued on Feb 7, 2024. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Bismarck, ND. The record was last updated on Feb 7, 2024.