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Carson Lee Davis
Transportation Broker in Gothenburg, Nebraska
NPI 1477214229

Carson Lee Davis is a Transportation Broker based in Gothenburg, NE. Carson Lee Davis practices in Gothenburg, NE. The NPI Number for Carson Lee Davis is 1477214229 and holds a License No. G18018081 (Nebraska).

The current practice location address for Carson Lee Davis is 1307 Lake Ave, Gothenburg, NE and can be reached out via phone at 308-325-5518.

Location: 1307 Lake Ave, Gothenburg, NE, 69138-1744
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477214229
Provider Name
Carson Lee Davis
Credential
Provider Entity Type
Individual
Gender
Male
Address
1307 Lake Ave, Gothenburg, NE, 69138-1744
Phone Number
308-325-5518
Fax Number
Provider Enumeration Date
01/04/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1307 Lake Ave
City
Gothenburg
State
Nebraska
Zip
69138-1744
Phone Number
308-325-5518
Fax Number
person
Provider Business Mailing Address Details
Address
1307 Lake Ave
City
Gothenburg
State
Nebraska
Zip
69138-1744
Phone Number
308-325-5518
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Transportation Broker
Speciality
-
Taxonomy
347E00000X
License No.
G18018081 (Nebraska)
Definition
An organization that provides transportation for individuals who need access to medical care or services and have no other means of transportation. Transportation includes, but is not limited to, wheelchair van, taxi, stretcher car, bus passes and tickets, and secured transportation.
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