Provider Demographics
NPI:1588036727
Name:LINKOUS, NELSON (RD)
Entity type:Individual
Prefix:
First Name:NELSON
Middle Name:
Last Name:LINKOUS
Suffix:
Gender:M
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1042 BEXLEY CT
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27262-8082
Mailing Address - Country:US
Mailing Address - Phone:304-320-3152
Mailing Address - Fax:
Practice Address - Street 1:1042 BEXLEY CT
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27262-8082
Practice Address - Country:US
Practice Address - Phone:304-320-3152
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-27
Last Update Date:2015-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCL004564133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered