Provider Demographics
NPI:1184801219
Name:HEALTH LINK CHIROPRACTIC INC
Entity type:Organization
Organization Name:HEALTH LINK CHIROPRACTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LINCOLN
Authorized Official - Middle Name:HOWE
Authorized Official - Last Name:KOHNER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:740-689-9355
Mailing Address - Street 1:1434 COLLINS RD NW
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:OH
Mailing Address - Zip Code:43130-8815
Mailing Address - Country:US
Mailing Address - Phone:740-689-9355
Mailing Address - Fax:740-689-9491
Practice Address - Street 1:1434 COLLINS RD NW
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:OH
Practice Address - Zip Code:43130-8815
Practice Address - Country:US
Practice Address - Phone:740-689-9355
Practice Address - Fax:740-689-9491
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-31
Last Update Date:2008-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2323435Medicaid
OH2323435Medicaid