1124099791 NPI number — MR. EMERSON ALLEN LINK PHD LISW CEAP

Table of content: MR. EMERSON ALLEN LINK PHD LISW CEAP (NPI 1124099791)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1124099791 NPI number — MR. EMERSON ALLEN LINK PHD LISW CEAP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LINK
Provider First Name:
EMERSON
Provider Middle Name:
ALLEN
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
PHD LISW CEAP
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1124099791
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1408 E 10TH ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ATLANTIC
Provider Business Mailing Address State Name:
IA
Provider Business Mailing Address Postal Code:
50022
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
712-243-2606
Provider Business Mailing Address Fax Number:
712-243-2688

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1408 E 10TH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ATLANTIC
Provider Business Practice Location Address State Name:
IA
Provider Business Practice Location Address Postal Code:
50022
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
712-243-2606
Provider Business Practice Location Address Fax Number:
712-243-2688
Provider Enumeration Date:
01/31/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 103TC0700X , with the licence number:  01351 , registered in the state of IA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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