Basic Information
| Provider Information | |||||||||
| NPI: | 1053828863 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | LINKEL | ||||||||
| FirstName: | BEN | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | DC | ||||||||
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| Mailing Information | |||||||||
| Address1: | N13A PINE TREE BLVD | ||||||||
| Address2: | |||||||||
| City: | OLD BRIDGE | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 088573140 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7247665936 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 4834 RICHMOND RD | ||||||||
| Address2: | |||||||||
| City: | CLEVELAND | ||||||||
| State: | OH | ||||||||
| PostalCode: | 441285963 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2163609567 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/02/2018 | ||||||||
| LastUpdateDate: | 07/31/2018 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 111NN0400X | DC-04761 | OH | N | Chiropractic Providers | Chiropractor | Neurology | 111NN1001X | DC-04761 | OH | N | Chiropractic Providers | Chiropractor | Nutrition | 111N00000X | DC-04761 | OH | Y | Chiropractic Providers | Chiropractor | 111N00000X | 38MC00754600 | NJ | N | Chiropractic Providers | Chiropractor |
No ID Information.