Provider Demographics
NPI:1285677724
Name:KESSLER, HOWARD S (DC)
Entity Type:Individual
Prefix:
First Name:HOWARD
Middle Name:S
Last Name:KESSLER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:230 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:HILLSDALE
Mailing Address - State:NJ
Mailing Address - Zip Code:07642-2040
Mailing Address - Country:US
Mailing Address - Phone:201-664-4864
Mailing Address - Fax:201-664-2773
Practice Address - Street 1:230 BROADWAY
Practice Address - Street 2:
Practice Address - City:HILLSDALE
Practice Address - State:NJ
Practice Address - Zip Code:07642-2040
Practice Address - Country:US
Practice Address - Phone:201-664-4864
Practice Address - Fax:201-664-2773
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-13
Last Update Date:2016-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00315300111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ5168902Medicaid
NJ5168902Medicaid