Provider Demographics
NPI:1659012060
Name:LINK HEALTHCARE, SC
Entity Type:Organization
Organization Name:LINK HEALTHCARE, SC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:WOZNIAK
Authorized Official - Suffix:
Authorized Official - Credentials:PA
Authorized Official - Phone:715-843-0366
Mailing Address - Street 1:4704 BAYBERRY ST
Mailing Address - Street 2:
Mailing Address - City:SCHOFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:54476-6097
Mailing Address - Country:US
Mailing Address - Phone:715-843-0366
Mailing Address - Fax:715-322-2084
Practice Address - Street 1:4704 BAYBERRY ST
Practice Address - Street 2:
Practice Address - City:SCHOFIELD
Practice Address - State:WI
Practice Address - Zip Code:54476-6097
Practice Address - Country:US
Practice Address - Phone:715-843-0366
Practice Address - Fax:715-322-2084
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-07
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty