Most Relevant Information
Provider Data
| NPI Number: | 1003517129 |
| Provider Name: | JASON LAMAR SMITH |
| Entity Type: | Individual |
| Taxonomy Code: | 347E00000X |
| Specialty: | Transportation Broker |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/15/2023 |
| Last Updated: | 03/15/2023 |
Provider Practice Location
750 S 3RD ST
TIPP CITY
OH
453711734
Practice Location Phone/Fax
| Phone: | 9378565153 |
| Fax: |
Provider Mailing Location
750 S 3RD ST
TIPP CITY
OH
453711734
Provider Mailing Phone/Fax
| Phone: | 9378565153 |
| Fax: |