Provider Demographics
NPI:1831139013
Name:KAWA, CHRISTOPHER (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:
Last Name:KAWA
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 1:136 DRUM POINT RD STE 4
Mailing Address - Street 2:
Mailing Address - City:BRICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08723-6275
Mailing Address - Country:US
Mailing Address - Phone:732-920-8844
Mailing Address - Fax:732-920-0024
Practice Address - Street 1:136 DRUM POINT RD
Practice Address - Street 2:SUITE 4
Practice Address - City:BRICK
Practice Address - State:NJ
Practice Address - Zip Code:08723-6275
Practice Address - Country:US
Practice Address - Phone:732-920-8844
Practice Address - Fax:732-920-0024
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-07
Last Update Date:2020-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00417400111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ679173Medicare ID - Type Unspecified