Provider Demographics
NPI:1972008266
Name:WORKIT HEALTH MI PLLC
Entity Type:Organization
Organization Name:WORKIT HEALTH MI PLLC
Other - Org Name:
Other - Org Type:
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:616-914-4503
Mailing Address - Street 1:3300 WASHTENAW AVE STE 280
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48104-5184
Mailing Address - Country:US
Mailing Address - Phone:734-329-5419
Mailing Address - Fax:855-716-4494
Practice Address - Street 1:3300 WASHTENAW AVE STE 280
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48104-5184
Practice Address - Country:US
Practice Address - Phone:734-329-5419
Practice Address - Fax:855-716-4494
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-28
Last Update Date:2022-02-23
Deactivation Date:2019-07-09
Deactivation Code:
Reactivation Date:2019-08-29
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
No261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use DisorderGroup - Multi-Specialty