Provider Demographics
NPI:1336356880
Name:CLINI CARE INC
Entity Type:Organization
Organization Name:CLINI CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:ELLIOTT
Authorized Official - Last Name:WALDEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-944-3337
Mailing Address - Street 1:7403A LIBERTY RD
Mailing Address - Street 2:
Mailing Address - City:GWYNN OAK
Mailing Address - State:MD
Mailing Address - Zip Code:21207-3812
Mailing Address - Country:US
Mailing Address - Phone:410-944-3337
Mailing Address - Fax:410-944-3368
Practice Address - Street 1:7403A LIBERTY RD
Practice Address - Street 2:
Practice Address - City:GWYNN OAK
Practice Address - State:MD
Practice Address - Zip Code:21207-3812
Practice Address - Country:US
Practice Address - Phone:410-944-3337
Practice Address - Fax:410-944-3368
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0044433208D00000X
MD20517261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
Not Answered261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy