Provider Demographics
NPI:1093707028
Name:ALIPIT, JOHN LUCIAN (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:LUCIAN
Last Name:ALIPIT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 S BROAD ST
Mailing Address - Street 2:
Mailing Address - City:HILLSDALE
Mailing Address - State:MI
Mailing Address - Zip Code:49242-1859
Mailing Address - Country:US
Mailing Address - Phone:517-437-3361
Mailing Address - Fax:517-437-0011
Practice Address - Street 1:32 S BROAD ST
Practice Address - Street 2:
Practice Address - City:HILLSDALE
Practice Address - State:MI
Practice Address - Zip Code:49242-1859
Practice Address - Country:US
Practice Address - Phone:517-437-3361
Practice Address - Fax:517-437-0011
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301031892208600000X, 2086S0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered208600000XAllopathic & Osteopathic PhysiciansSurgery
Not Answered2086S0105XAllopathic & Osteopathic PhysiciansSurgerySurgery of the Hand
Provider Identifiers
StateIdentifier IDID TypeIssuer
4441904OtherTEAMSTERS
MIP49796OtherBLUE CARE NETWORK
MIM008491OtherCHAMPUS-TRICARE
MI17-20035OtherPHP
MI0203045811OtherBLUE CROSS
MI2091200Medicaid
MI0203045811OtherBLUE CROSS
B46772Medicare UPIN