Provider Demographics
NPI:1457471161
Name:LINK, PATRICK EDWIN (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:EDWIN
Last Name:LINK
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 W WEAVER ST STE 6C
Mailing Address - Street 2:
Mailing Address - City:CARRBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27510-6003
Mailing Address - Country:US
Mailing Address - Phone:310-882-3466
Mailing Address - Fax:310-882-3466
Practice Address - Street 1:103 W WEAVER ST STE 6C
Practice Address - Street 2:
Practice Address - City:CARRBORO
Practice Address - State:NC
Practice Address - Zip Code:27510-6003
Practice Address - Country:US
Practice Address - Phone:310-882-3466
Practice Address - Fax:310-882-3466
Is Sole Proprietor?:No
Enumeration Date:2007-03-29
Last Update Date:2020-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA915452084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A915450Medicaid
CA00A915450Medicaid