Provider Demographics
NPI:1508521220
Name:WORKIT HEALTH MI PLLC
Entity Type:Organization
Organization Name:WORKIT HEALTH MI PLLC
Other - Org Name:WORKITH HEALTH MI PLLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPERATIONS SUPPORT
Authorized Official - Prefix:
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:L
Authorized Official - Last Name:MONTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-842-9771
Mailing Address - Street 1:200 BYRD WAY STE 205
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:IN
Mailing Address - Zip Code:46143-5687
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2160 W 86TH ST STE 200
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46260-1908
Practice Address - Country:US
Practice Address - Phone:941-539-9889
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WORKIT HEALTH MI PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-11-08
Last Update Date:2022-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty