Jim Ford
Driver in Helena, MT. Individual provider (NPI-1).
NPI number1548097744
StatusActive
Last updated in NPPESSep 19, 2024
Details
- NPI
- 1548097744
- Entity type
- Individual (NPI-1)
- Name
- Mr. Jim Ford
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 19, 2024
- Certification date
- Sep 19, 2024
- Last updated
- Sep 19, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172A00000X | Driver | 0107219634123 | MT | Yes |
Practice location
510 Dearborn AveHelena, MT 59601-2761
Phone 406-439-2108
Mailing address
510 Dearborn AveHelena, MT 59601-2761
Phone 406-439-2108
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