Jenkins, Tina Marie
Jenkins, Tina Marie is an sole proprietor health care provider with primary practice located at 9881 Broken Land Parkway Suite 105, Columbia MD 21046. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Jenkins, Tina Marie can be contacted via phone (410) 381-2874.Contact Information
Primary practice address
9881 Broken Land Parkway Suite 105
Columbia MD 21046
Phone: (410) 381-2874
Fax: (410) 381-2875
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 04243 | Maryland |
Profile Details
| NPI number | 1083742282 |
|---|---|
| LBN Legal business name | Jenkins, Tina Marie |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 1st, 2007 |
| Last updated | Oct 14th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083742282 | NPPES |
| Maryland | MEDICAID | 014158500 |
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