Provider Demographics
NPI:1558312603
Name:MCALPINE, FREDERIC J (DC)
Entity Type:Individual
Prefix:DR
First Name:FREDERIC
Middle Name:J
Last Name:MCALPINE
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 1:520 IMLAY CITY RD
Mailing Address - Street 2:
Mailing Address - City:LAPEER
Mailing Address - State:MI
Mailing Address - Zip Code:48446-3178
Mailing Address - Country:US
Mailing Address - Phone:810-664-4741
Mailing Address - Fax:810-664-2380
Practice Address - Street 1:520 IMLAY CITY RD
Practice Address - Street 2:
Practice Address - City:LAPEER
Practice Address - State:MI
Practice Address - Zip Code:48446-3178
Practice Address - Country:US
Practice Address - Phone:810-664-4741
Practice Address - Fax:810-664-2380
Is Sole Proprietor?:No
Enumeration Date:2006-05-13
Last Update Date:2008-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIFM002311111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA950D450030OtherBLUE CARE NETWORK
MIT33059OtherHAP
MI950D410610OtherBCBS
MI950D450030OtherHEALTH PLUS
MI1698783Medicaid
MI382372644OtherCOMMERCIAL
MI382372644OtherCOMMERCIAL
MI950D450030OtherHEALTH PLUS