NPI 1093287203

Stephen Hooper

Practitioner Transportation Broker Manton, MI

Practice location

Address: 212 Pine St, Manton, MI 49663-9128
Phone: (231) 429-6173
Mailing address: 724 Indian Trail Blvd, Traverse City, MI 49686-3536

Registered specialties

Transportation Broker Primary

Transportation Services Taxonomy 347E00000X Licence 5803000052 (MI)

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Registry record

NPI: 1093287203
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Dec 2018
Record last updated: 28 Dec 2018

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.