Tinker, Marlon Richard

Tinker, Marlon Richard is an sole proprietor health care provider with primary practice located at 6600 York Road Suite 109A, Baltimore MD 21212-2028. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Tinker, Marlon Richard can be contacted via phone (410) 689-8757.

Contact Information

Primary practice address
6600 York Road Suite 109A Baltimore MD 21212-2028
Phone: (410) 689-8757
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X AC1591 Maryland
Behavioral Health & Social Service Providers / Clinical 1041C0700X 13822 Maryland

Profile Details

NPI number 1053640284
LBN Legal business name Tinker, Marlon Richard
Credentials LCSWC, CAC-AD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 17th, 2009
Last updated Jul 15th, 2015 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053640284 NPPES
Maryland MEDICAID 324303600

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