Craig Emerson

Individual provider Active NPI Driver · Towner, ND

NPI 1487242533 · NPPES record last updated Mar 6, 2021

Key facts

NPI
1487242533
Entity type
Individual (NPI type 1)
Primary specialty
Driver 172A00000X
License
0107519734109 (MT)
Practice address
406 2ND St SW
Towner, ND 58788-5878
Phone
(406) 478-1399
NPI assigned
Jan 5, 2021
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X 0107519734109 MT Yes

Addresses

Primary practice location

406 2ND St SW
Towner, ND 58788-5878

Mailing address

PO Box 133
Towner, ND 58788-0133
Phone (406) 478-1399

Other providers in Towner, ND

All providers in Towner, ND · Driver in North Dakota

Sources for this page

Verify at the official NPI Registry.