NPI 1477214229

Carson Lee Davis

Practitioner Transportation Broker Gothenburg, NE

Practice location

Address: 1307 Lake Ave, Gothenburg, NE 69138-1744
Phone: (308) 325-5518

Registered specialties

Transportation Broker Primary

Transportation Services Taxonomy 347E00000X Licence G18018081 (NE)

Other Transportation Broker providers in Nebraska →

Registry record

NPI: 1477214229
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Jan 2022
Record last updated: 4 Jan 2022

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.