Healthcare Provider Details

I. General information

NPI: 1508521220
Provider Name (Legal Business Name): WORKIT HEALTH MI PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2021
Last Update Date: 07/15/2024
Certification Date: 07/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2160 W 86TH ST STE 200
INDIANAPOLIS IN
46260-1908
US

IV. Provider business mailing address

200 BYRD WAY STE 205
GREENWOOD IN
46143-5687
US

V. Phone/Fax

Practice location:
  • Phone: 941-539-9889
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: LINDSAY BARKER
Title or Position: CREDENTIALING MANAGER
Credential:
Phone: 734-373-0849