Provider Demographics
NPI:1275942484
Name:THE ALPINE CLINIC, PLLC
Entity Type:Organization
Organization Name:THE ALPINE CLINIC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICAL
Authorized Official - Prefix:DR
Authorized Official - First Name:DOUGALD
Authorized Official - Middle Name:
Authorized Official - Last Name:MACARTHUR
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:603-823-8600
Mailing Address - Street 1:12 YEATON RD
Mailing Address - Street 2:SUITE C4
Mailing Address - City:PLYMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03264-3457
Mailing Address - Country:US
Mailing Address - Phone:603-536-2270
Mailing Address - Fax:603-536-2277
Practice Address - Street 1:12 YEATON RD
Practice Address - Street 2:SUITE C4
Practice Address - City:PLYMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03264-3457
Practice Address - Country:US
Practice Address - Phone:603-536-2270
Practice Address - Fax:603-536-2277
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-13
Last Update Date:2016-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NHNH11511207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty