Individual
MR. RONALD EUEGENE TINKHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
314 MAYFAIR BLVD APT B, COLUMBUS, OH 43213-2226
(937) 564-0491
Mailing address
629 WAYNE AVE, GREENVILLE, OH 45331-1233
(937) 564-0491
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2375371
—
OH
Enumeration date
03/23/2007
Last updated
07/09/2007
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