Individual provider · Type 1 NPI
Ethan Calvin
Other Technician · Bossier City, LA
NPI number
1700748159
Active
Practice location
2161 Airline Dr Ste B
Bossier City, LA 71111-3172
Fax (318) 746-7911
Mailing address
1509 Doctors Dr
Bossier City, LA 71111-3321
Other practice locations
- 805 Kings Way, Wake Village, TX 75501-5775 · (903) 831-7424
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Other Technician | 247200000X | 100599 (TX) |
| Other Technician | 247200000X | 100599 (AR) |
| Other Technician Primary | 247200000X | 100599 (LA) |
Other Technician: A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.
Other other technician providers in Bossier City
About NPI 1700748159
Ethan Calvin's National Provider Identifier is 1700748159, issued on Nov 24, 2025. The primary taxonomy on file is Other Technician (247200000X), and the practice location is in Bossier City, LA. The record was last updated on Jan 16, 2026.