Bo Morgan Howling Wolf
Individual provider Active NPI Driver · Bismarck, ND
NPI 1245019116 · NPPES record last updated Sep 28, 2023
Key facts
- NPI
- 1245019116
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- License
- 00000 (ND)
- Practice address
- 1308 Elbowood LN
Bismarck, ND 58503-5712 - Phone
- (701) 751-8260
- Fax
- (701) 751-2274
- NPI assigned
- Sep 28, 2023
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00000 | ND | MD | Peer Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | 00000 | ND | Yes |
Addresses
Primary practice location
1308 Elbowood LN
Bismarck, ND 58503-5712
Mailing address
1308 Elbowood LN
Bismarck, ND 58503-5712
Phone (701) 751-8260
Other providers in Bismarck, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 28, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.