ETHAN BIRD - NPI 1336972637 - Peer Specialist in Parkersburg, WV

Q: What is Ethan Bird's NPI number?

The NPI number for Ethan Bird is 1336972637. It was assigned to this individual provider in the NPPES registry on August 22, 2024.

Q: What is Ethan Bird's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

Q: When was this NPI record last updated?

The NPPES record for Ethan Bird was last updated on August 22, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Ethan Bird NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ETHAN BIRD (NPI 1336972637) is an individual peer specialist in Parkersburg, West Virginia and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1336972637

Entity TypeIndividualMale

Primary Taxonomy175T00000X

Provider Legal NameETHAN BIRD

Location Address2910 EMERSON AVEParkersburg, WV 26104-2519

Mailing Address2910 Emerson AveParkersburg, WV 26104-2519 · (304) 239-5355

Phone(304) 239-5355

Sole ProprietorYes

Enumeration DateAugust 22, 2024

NPPES CertifiedAugust 22, 2024

✔ NPI 1336972637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

2910 EMERSON AVE, Parkersburg, WV 26104

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SANDAL, INC

Preferred Provider Organization