Provider Demographics
NPI:1134529399
Name:LINK INSURANCE SERVICE, LLC
Entity type:Organization
Organization Name:LINK INSURANCE SERVICE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHIRLEY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:LINK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-695-0611
Mailing Address - Street 1:1465 GRACES RUN RD
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45697-9487
Mailing Address - Country:US
Mailing Address - Phone:937-695-0611
Mailing Address - Fax:937-695-0623
Practice Address - Street 1:1465 GRACES RUN RD
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:OH
Practice Address - Zip Code:45697-9487
Practice Address - Country:US
Practice Address - Phone:937-695-0611
Practice Address - Fax:937-695-0623
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-25
Last Update Date:2014-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH28624251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management