MEDICARE: DR. VINCE LINK OMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	1017	NV

General Provider Information

NPI Number	:	1285727602
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VINCE LINK OMD

Provider Business Mailing Address
First Line	:	2920 S. RAINBOW BLVD
Second Line	:	SUITE #140
City	:	LAS VEGAS
State	:	NV
Zip	:	89146
Country	:	US
Telephone Number	:	702-444-4775
Fax Number	:	702-444-4776

Provider Business Practice Location Address
First Line	:	2920 S. RAINBOW BLVD
Second Line	:	SUITE #140
City	:	LAS VEGAS
State	:	NV
Zip	:	89146
Country	:	US
Telephone Number	:	702-444-4775
Fax Number	:	702-444-4776

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/30/2006
Last Update Date	:	09/17/2014

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Directions to “ DR. VINCE LINK OMD” Practice Location

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