Provider Demographics
NPI:1205038981
Name:TINKLE CHIROPRACTIC, INC.
Entity Type:Organization
Organization Name:TINKLE CHIROPRACTIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JON
Authorized Official - Middle Name:K
Authorized Official - Last Name:TINKLE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:765-935-1000
Mailing Address - Street 1:212 N 8TH ST
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:IN
Mailing Address - Zip Code:47374-3033
Mailing Address - Country:US
Mailing Address - Phone:765-935-1000
Mailing Address - Fax:765-935-1493
Practice Address - Street 1:212 N 8TH ST
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:IN
Practice Address - Zip Code:47374-3033
Practice Address - Country:US
Practice Address - Phone:765-935-1000
Practice Address - Fax:765-935-1493
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-04
Last Update Date:2022-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN0800218LA111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200542560Medicaid
IN224060Medicare ID - Type Unspecified
INVO3935Medicare UPIN