NPI 1700748159
Ethan Calvin
Practice location
- Address
- 2161 Airline Dr STE B, Bossier City, LA 71111-3172
- Phone
- (318) 746-6288
- Fax
- (318) 746-7911
- Mailing address
- 1509 Doctors Dr, Bossier City, LA 71111-3321
Registered specialties (3)
Other Technician
Primary
Other Technician
Other Technician
Registry record
- NPI
- 1700748159
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 24 Nov 2025
- Record last updated
- 16 Jan 2026
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.