Provider Demographics
NPI:1073348223
Name:MICHIGAN TRANSPORTATION CONNECTION, INC.
Entity type:Organization
Organization Name:MICHIGAN TRANSPORTATION CONNECTION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CLARK
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:HARDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:989-277-0447
Mailing Address - Street 1:1401 E LANSING DR STE 108
Mailing Address - Street 2:
Mailing Address - City:EAST LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48823-7788
Mailing Address - Country:US
Mailing Address - Phone:989-277-0447
Mailing Address - Fax:
Practice Address - Street 1:1401 E LANSING DR STE 108
Practice Address - Street 2:
Practice Address - City:EAST LANSING
Practice Address - State:MI
Practice Address - Zip Code:48823-7788
Practice Address - Country:US
Practice Address - Phone:989-277-0447
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-06
Last Update Date:2024-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker