Healthcare Provider Details

I. General information

NPI: 1275772261
Provider Name (Legal Business Name): LINK MEDICAL TECHNOLOGIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2009
Last Update Date: 02/13/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3885 S DECATUR BLVD SUITE 2010
LAS VEGAS NV
89103-5855
US

IV. Provider business mailing address

3885 S DECATUR BLVD SUITE 2010
LAS VEGAS NV
89103-5855
US

V. Phone/Fax

Practice location:
  • Phone: 702-646-2621
  • Fax: 702-646-3840
Mailing address:
  • Phone: 702-646-2621
  • Fax: 702-646-3840

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2251G0304X
TaxonomyGeriatric Physical Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225CX0006X
TaxonomyOrientation and Mobility Training Rehabilitation Counselor
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code225XG0600X
TaxonomyGerontology Occupational Therapist
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: CHARLES WILLIAM HORVATH JR.
Title or Position: PRESIDENT
Credential:
Phone: 702-646-2621