Provider Demographics
NPI:1508266040
Name:HUDSONVILLE CHIROPRACTIC, PLLC
Entity Type:Organization
Organization Name:HUDSONVILLE CHIROPRACTIC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRAD
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:MCALPINE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:616-669-6702
Mailing Address - Street 1:3360 PROSPECT ST
Mailing Address - Street 2:
Mailing Address - City:HUDSONVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:49426-1420
Mailing Address - Country:US
Mailing Address - Phone:616-669-6702
Mailing Address - Fax:616-797-4025
Practice Address - Street 1:3360 PROSPECT ST
Practice Address - Street 2:
Practice Address - City:HUDSONVILLE
Practice Address - State:MI
Practice Address - Zip Code:49426-1420
Practice Address - Country:US
Practice Address - Phone:616-669-6702
Practice Address - Fax:616-797-4025
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-03
Last Update Date:2014-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301010148111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty