Healthcare Provider Details

I. General information

NPI: 1053828863
Provider Name (Legal Business Name): BEN LINKEL DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/02/2018
Last Update Date: 07/31/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4834 RICHMOND RD
CLEVELAND OH
44128-5963
US

IV. Provider business mailing address

N13A PINE TREE BLVD
OLD BRIDGE NJ
08857-3140
US

V. Phone/Fax

Practice location:
  • Phone: 216-360-9567
  • Fax:
Mailing address:
  • Phone: 724-766-5936
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111NN0400X
TaxonomyNeurology Chiropractor
License NumberDC-04761
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code111NN1001X
TaxonomyNutrition Chiropractor
License NumberDC-04761
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC-04761
License Number StateOH
# 4
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number38MC00754600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: