Link, John Wheaton
Link, John Wheaton is an sole proprietor health care provider with primary practice located at 2200 Lake Ave Suite 130, Fort Wayne IN 46805-5397. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Link, John Wheaton can be contacted via phone (260) 438-9540.Contact Information
Primary practice address
2200 Lake Ave Suite 130
Fort Wayne IN 46805-5397
Phone: (260) 438-9540
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 35000358A | Indiana |
Profile Details
| NPI number | 1336271824 |
|---|---|
| LBN Legal business name | Link, John Wheaton |
| Credentials | MS LMFT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 10th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336271824 | NPPES |
| Indiana | Other | CAQH PROVIDER | 11506176 |
| Indiana | Other | LICENSE NUMBER | 11506176 |
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