Doctor Name: | CHRISTOPHER LINK |
NPI Number: | 1154682706 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MSN, NP-C |
License Number: | COA.13173-NP |
Business Practice Address: | 2912 Springboro Rd Moraine, OH - 454391674 |
Business Phone Number: | 9372978999 |
Business Fax Number: | |
Mailing Address: | 2912 Springboro Rd, Suite 201 MORAINE |
State: | OH |
Postal Code: | 454391674 |
Phone Number: | 9372978999 |
Fax Number: | 9372974852 |
NPI Enumeration Date: | 05/30/2012 |
NPI Last Update Date: | 09/11/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | COA.13173-NP |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |