Healthcare Provider Details

I. General information

NPI: 1942942859
Provider Name (Legal Business Name): WORKIT HEALTH MI PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2022
Last Update Date: 07/23/2024
Certification Date: 07/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

84 STATE ST
BOSTON MA
02109-2202
US

IV. Provider business mailing address

PO BOX 392981
PITTSBURGH PA
15251-9900
US

V. Phone/Fax

Practice location:
  • Phone: 734-373-0849
  • Fax:
Mailing address:
  • Phone: 734-373-0849
  • 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