Healthcare Provider Details

I. General information

NPI: 1073421467
Provider Name (Legal Business Name): EVERWELL HEALTH ASSOCIATES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2026
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19386 CUMBERLAND WAY
DETROIT MI
48203-1456
US

IV. Provider business mailing address

19386 CUMBERLAND WAY
DETROIT MI
48203-1456
US

V. Phone/Fax

Practice location:
  • Phone: 248-891-7181
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number State

VIII. Authorized Official

Name: JASON ADAM BITKOWSKI
Title or Position: MEMBER
Credential: DO
Phone: 248-891-7181