Active NPIIndividual providerSole proprietor

Dr. Brian E Kiczek, DC

Chiropractor in Fairview, New Jersey

NPI Number1295954030
Practice location
216 Anderson Ave, Rear Office, Fairview, NJ 07022-1468
Fax
201-313-8880
Last updated
July 28, 2008

Brian Edward Kiczek is a Chiropractor based in Fairview, NJ. Brian Edward Kiczek practices in Fairview, NJ and has the professional credentials of DC. The NPI Number for Brian Edward Kiczek is 1295954030 and holds a License No. 38MC00587000 (NJ). The current practice location address for Brian Edward Kiczek is 216 Anderson Ave, Rear Office, Fairview, NJ 07022-1468 and can be reached out via phone at 201-313-8880 and via fax at 201-313-8880.

Provider Profile Details

NPI Number
1295954030
Provider Name
Brian Edward Kiczek
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
216 Anderson Ave, Rear Office, Fairview, NJ 07022-1468
Phone Number
201-313-8880
Fax Number
201-313-8880
Primary Taxonomy
Chiropractor · 111N00000X
Sole Proprietor
Yes
Provider Enumeration Date
April 24, 2007
Last Update Date
July 28, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
216 Anderson Ave
Rear Office
Fairview, NJ 07022-1468
Zip
07022-1468
Phone Number
201-313-8880
Fax Number
201-313-8880
Fairview, NJ 07022Get directions →

Provider Business Mailing Address Details

Address
216 Anderson Av.
Rear Office
Fairview, NJ 07022
City
Fairview
State
NJ
Zip
07022
Phone Number
201-313-8880
Fax Number
201-313-8880

License Information

License Number
38MC00587000
License State
NJ
Taxonomy
Chiropractor · 111N00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Brian E Kiczek, DC?

The NPI number of Dr. Brian E Kiczek, DC is 1295954030. It was assigned on April 24, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Brian E Kiczek, DC?

Dr. Brian E Kiczek, DC is registered under the primary taxonomy Chiropractor (code 111N00000X), licensed in NJ under license number 38MC00587000.

Where does Dr. Brian E Kiczek, DC practice?

The practice location is 216 Anderson Ave, Rear Office, Fairview, NJ 07022-1468. The office can be reached at 201-313-8880 (phone) or 201-313-8880 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1295954030 directly on the NPPES registry website.

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