Individual provider · Type 1 NPI
Brian Edward Kiczek, DC
Chiropractor · Fairview, NJ
NPI number
1295954030
Active
Practice location
216 Anderson Ave, Rear Office
Fairview, NJ 07022-1468
Fax (201) 313-8880
Mailing address
216 Anderson Av., Rear Office
Fairview, NJ 07022
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 38MC00587000 (NJ) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Another provider at this address
Other chiropractor providers in Fairview
About NPI 1295954030
Brian Edward Kiczek, DC's National Provider Identifier is 1295954030, issued on Apr 24, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Fairview, NJ. The record was last updated on Jul 28, 2008.