Provider Demographics
NPI:1235801663
Name:LINKER, ADELINE MARY
Entity Type:Individual
Prefix:MISS
First Name:ADELINE
Middle Name:MARY
Last Name:LINKER
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 1:2136 N BILLMAN RD
Mailing Address - Street 2:
Mailing Address - City:GENOA
Mailing Address - State:OH
Mailing Address - Zip Code:43430-9768
Mailing Address - Country:US
Mailing Address - Phone:419-308-6687
Mailing Address - Fax:
Practice Address - Street 1:105 HEILMAN AVE
Practice Address - Street 2:
Practice Address - City:PERRYSBURG
Practice Address - State:OH
Practice Address - Zip Code:43551-1239
Practice Address - Country:US
Practice Address - Phone:567-336-6007
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-04
Last Update Date:2021-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator