Provider Demographics
NPI:1740334416
Name:PARKER, LINDA K
Entity type:Individual
Prefix:MS
First Name:LINDA
Middle Name:K
Last Name:PARKER
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 1:2190 TOWNSHIP ROAD 128 SE
Mailing Address - Street 2:
Mailing Address - City:JUNCTION CITY
Mailing Address - State:OH
Mailing Address - Zip Code:43748-9642
Mailing Address - Country:US
Mailing Address - Phone:740-342-3662
Mailing Address - Fax:
Practice Address - Street 1:2190 TOWNSHIP ROAD 128 SE
Practice Address - Street 2:
Practice Address - City:JUNCTION CITY
Practice Address - State:OH
Practice Address - Zip Code:43748-9642
Practice Address - Country:US
Practice Address - Phone:740-342-3662
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-22
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2126130Medicaid