Rick's Amt LLC

Primary specialty

Private VehicleTaxonomy code 347C00000X

License

MDOT 1005 Issued in MI

Legal business name

RICK'S AMT LLC

Practice address

108 Railroad St
Port Austin, MI 48467-6720

Phone

(989) 738-6202

NPI assigned

Oct 13, 2016

Last updated

Oct 13, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Sarah Elizabeth Clark

Title

Owner

Phone

(989) 738-6202

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1476316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476316800000",
    "number": "1417407552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 339",
            "city": "PORT AUSTIN",
            "state": "MI",
            "postal_code": "484670339",
            "telephone_number": "989-738-6202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 RAILROAD ST",
            "city": "PORT AUSTIN",
            "state": "MI",
            "postal_code": "484676720",
            "telephone_number": "989-738-6202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICK'S AMT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-13",
        "last_updated": "2016-10-13",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-738-6202",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "MI",
            "license": "MDOT 1005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Private Vehicle in Port Austin, MI
• Providers in Port Austin, MI by specialty
• Private Vehicle in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.