Provider Demographics
NPI:1679182976
Name:LINK, BARBARA S
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:S
Last Name:LINK
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 1:5154 ST RD.60 1
Mailing Address - Street 2:
Mailing Address - City:PEKIN
Mailing Address - State:IN
Mailing Address - Zip Code:47165
Mailing Address - Country:US
Mailing Address - Phone:812-967-6889
Mailing Address - Fax:
Practice Address - Street 1:5154 ST RD.60 1
Practice Address - Street 2:
Practice Address - City:PEKIN
Practice Address - State:IN
Practice Address - Zip Code:47165
Practice Address - Country:US
Practice Address - Phone:812-967-6889
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-23
Last Update Date:2020-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Single Specialty