Provider Demographics
NPI:1366923088
Name:MICHELE MENDS-KIGER LLC
Entity type:Organization
Organization Name:MICHELE MENDS-KIGER LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER / DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:MARIA
Authorized Official - Last Name:MENDES-KIGER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:732-713-3424
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:732-713-3424
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-22
Last Update Date:2018-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00680100111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty