Provider Demographics
NPI:1053770578
Name:TIGHE, JAMES
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:
Last Name:TIGHE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 BERRY LN
Mailing Address - Street 2:
Mailing Address - City:SEWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:08080-1535
Mailing Address - Country:US
Mailing Address - Phone:856-468-3509
Mailing Address - Fax:856-494-0888
Practice Address - Street 1:105 BERRY LN
Practice Address - Street 2:
Practice Address - City:SEWELL
Practice Address - State:NJ
Practice Address - Zip Code:08080-1535
Practice Address - Country:US
Practice Address - Phone:856-468-3509
Practice Address - Fax:856-494-0888
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-11
Last Update Date:2016-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00199300111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor