Healthcare Provider Details

I. General information

NPI: 1164508909
Provider Name (Legal Business Name): IT WORKS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/27/2006
Last Update Date: 07/10/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

47100 SCHOENHERR RD
SHELBY TOWNSHIP MI
48315-4716
US

IV. Provider business mailing address

5000 TOWN CTR SUITE 2001
SOUTHFIELD MI
48075-1110
US

V. Phone/Fax

Practice location:
  • Phone: 586-685-0505
  • Fax:
Mailing address:
  • Phone: 248-352-0314
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP3300X
TaxonomyPain Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. JAMES A KAMMERER
Title or Position: PRESIDENT
Credential:
Phone: 248-352-0314