Provider Demographics
NPI:1639689581
Name:YORK, LINDA JANE (HIS)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:JANE
Last Name:YORK
Suffix:
Gender:F
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15906 CEDAR CIR
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68130-1747
Mailing Address - Country:US
Mailing Address - Phone:402-880-3938
Mailing Address - Fax:
Practice Address - Street 1:15906 CEDAR CIR
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68130-1747
Practice Address - Country:US
Practice Address - Phone:402-880-3938
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-05
Last Update Date:2017-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty