Provider Demographics
NPI:1225636574
Name:TINKHAM, RONALD EUGENE
Entity Type:Individual
Prefix:MR
First Name:RONALD
Middle Name:EUGENE
Last Name:TINKHAM
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 EM CONANT LANE
Mailing Address - Street 2:
Mailing Address - City:THE PLAINS
Mailing Address - State:OH
Mailing Address - Zip Code:45780-1215
Mailing Address - Country:US
Mailing Address - Phone:740-797-4941
Mailing Address - Fax:
Practice Address - Street 1:1 EM CONANT LANE
Practice Address - Street 2:
Practice Address - City:THE PLAINS
Practice Address - State:OH
Practice Address - Zip Code:45780-1215
Practice Address - Country:US
Practice Address - Phone:740-797-4941
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-09
Last Update Date:2020-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty