Provider Demographics
NPI:1215979026
Name:KREIGER, MATTHEW (DC)
Entity type:Individual
Prefix:
First Name:MATTHEW
Middle Name:
Last Name:KREIGER
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 1:15 WEST ASPEN WAY
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07747
Mailing Address - Country:US
Mailing Address - Phone:732-615-7402
Mailing Address - Fax:732-640-5326
Practice Address - Street 1:2145 HIGHWAY 35
Practice Address - Street 2:KOHLS PLAZA
Practice Address - City:HOLMDEL
Practice Address - State:NJ
Practice Address - Zip Code:07733-1164
Practice Address - Country:US
Practice Address - Phone:732-615-7402
Practice Address - Fax:732-640-5326
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-13
Last Update Date:2011-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMC005788111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor