Provider Demographics
NPI:1285166751
Name:CONKLE, LINKA (BC-HIS)
Entity type:Individual
Prefix:MRS
First Name:LINKA
Middle Name:
Last Name:CONKLE
Suffix:
Gender:F
Credentials:BC-HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:830 BETHESDA DR
Mailing Address - Street 2:DOCTORS PARK 1
Mailing Address - City:ZANESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43701-1895
Mailing Address - Country:US
Mailing Address - Phone:740-450-7660
Mailing Address - Fax:740-450-7675
Practice Address - Street 1:830 BETHESDA DR
Practice Address - Street 2:DOCTORS PARK 1
Practice Address - City:ZANESVILLE
Practice Address - State:OH
Practice Address - Zip Code:43701-1895
Practice Address - Country:US
Practice Address - Phone:740-450-7660
Practice Address - Fax:740-450-7675
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-03
Last Update Date:2017-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2784237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist