Provider Demographics
NPI:1346378718
Name:NABER, MICHELLE RAE (DC)
Entity Type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:RAE
Last Name:NABER
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 1:2331 DANA CT
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92008-2076
Mailing Address - Country:US
Mailing Address - Phone:908-656-4924
Mailing Address - Fax:
Practice Address - Street 1:360 SPRINGFIELD AVE
Practice Address - Street 2:
Practice Address - City:SUMMIT
Practice Address - State:NJ
Practice Address - Zip Code:07901-4608
Practice Address - Country:US
Practice Address - Phone:908-656-4924
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00549400111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ046676Medicare ID - Type Unspecified