Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | 38MC00754600 | NJ |
Y | 111N00000X | Chiropractor | DC-04761 | OH |
N | 111NN0400X | Neurology | DC-04761 | OH |
N | 111NN1001X | Nutrition | DC-04761 | OH |
NPI | 1053828863 |
---|---|
Provider Name | Dr. Ben Linkel |
First Address | Old Bridge, NJ 08857-3140 |
Second Address | Cleveland, OH 44128-5963 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/01/2018 |
Last Update Date | 31/07/2018 |