Provider Demographics
NPI:1962630681
Name:ALPINE MEDICINALS
Entity type:Organization
Organization Name:ALPINE MEDICINALS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:MR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:DANIEL
Authorized Official - Last Name:SLAVER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:970-927-1177
Mailing Address - Street 1:355 GOLD RIVERS CT. SUITE 1
Mailing Address - Street 2:
Mailing Address - City:BASALT
Mailing Address - State:CO
Mailing Address - Zip Code:81621
Mailing Address - Country:US
Mailing Address - Phone:970-947-1177
Mailing Address - Fax:866-679-5839
Practice Address - Street 1:355 GOLD RIVERS CT. SUITE 1
Practice Address - Street 2:
Practice Address - City:BASALT
Practice Address - State:CO
Practice Address - Zip Code:81621
Practice Address - Country:US
Practice Address - Phone:970-947-1177
Practice Address - Fax:866-679-5839
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-01
Last Update Date:2025-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty