Provider Demographics
NPI:1215417621
Name:MENDES-KIGER, MICHELE MARIA (DC)
Entity Type:Individual
Prefix:
First Name:MICHELE
Middle Name:MARIA
Last Name:MENDES-KIGER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1574 LAMBERT ST
Mailing Address - Street 2:
Mailing Address - City:RAHWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:07065-2038
Mailing Address - Country:US
Mailing Address - Phone:732-713-3424
Mailing Address - Fax:
Practice Address - Street 1:1574 LAMBERT ST
Practice Address - Street 2:
Practice Address - City:RAHWAY
Practice Address - State:NJ
Practice Address - Zip Code:07065-2038
Practice Address - Country:US
Practice Address - Phone:908-510-1794
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-15
Last Update Date:2018-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00680100111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty