Provider Demographics
NPI:1639890320
Name:WORKIT HEALTH MI PLLC
Entity type:Organization
Organization Name:WORKIT HEALTH MI PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LINDSAY
Authorized Official - Middle Name:
Authorized Official - Last Name:BARKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-373-0849
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:918-926-3824
Mailing Address - Fax:
Practice Address - Street 1:1010 24TH AVE NW STE 100
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73069-6488
Practice Address - Country:US
Practice Address - Phone:918-926-3824
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WORKIT HEALTH MI PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-09-09
Last Update Date:2024-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
No208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty