Provider Demographics
NPI:1487194726
Name:NIT WITS
Entity Type:Organization
Organization Name:NIT WITS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/TECHNICIAN
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:LEIGH
Authorized Official - Last Name:SHARP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-310-9281
Mailing Address - Street 1:9302 NEW LAGRANGE ROAD
Mailing Address - Street 2:UNIT H
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40242-6258
Mailing Address - Country:US
Mailing Address - Phone:502-365-9505
Mailing Address - Fax:
Practice Address - Street 1:9302 NEW LAGRANGE ROAD
Practice Address - Street 2:UNIT H
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40242-6258
Practice Address - Country:US
Practice Address - Phone:502-365-9505
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-06
Last Update Date:2017-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, OtherGroup - Single Specialty