Provider Demographics
NPI:1164026852
Name:LINTON, CHRISTY DANELLE
Entity Type:Individual
Prefix:
First Name:CHRISTY
Middle Name:DANELLE
Last Name:LINTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:528 JOHNSON RD
Mailing Address - Street 2:
Mailing Address - City:CHILLICOTHE
Mailing Address - State:OH
Mailing Address - Zip Code:45601-2929
Mailing Address - Country:US
Mailing Address - Phone:740-253-9092
Mailing Address - Fax:
Practice Address - Street 1:528 JOHNSON RD
Practice Address - Street 2:
Practice Address - City:CHILLICOTHE
Practice Address - State:OH
Practice Address - Zip Code:45601-2929
Practice Address - Country:US
Practice Address - Phone:740-253-9092
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-24
Last Update Date:2020-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2866037Medicaid