Individual
MR. COLE JACOB TINKLENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
INDEPENDENT DUTY HM
Contact information
Practice address
2189 ELROD AVE, QUANTICO, VA 22134-5113
(616) 284-7607
Mailing address
2189 ELROD AVE BLDG 5003, QUANTICO, VA 22134-5113
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
1053039925
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1472480762
INDEPENDENT DUTY CORPSMAN
VA
Enumeration date
08/17/2022
Last updated
04/20/2026
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