Provider Demographics
NPI:1336894039
Name:ALPINE CHIROPRACTIC AND DECOMPRESSION LLC
Entity Type:Organization
Organization Name:ALPINE CHIROPRACTIC AND DECOMPRESSION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CHADRICK
Authorized Official - Middle Name:HALSTON
Authorized Official - Last Name:KIRKPATRICK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:256-621-2858
Mailing Address - Street 1:1011 N ALDER ST
Mailing Address - Street 2:
Mailing Address - City:ELLENSBURG
Mailing Address - State:WA
Mailing Address - Zip Code:98926-2699
Mailing Address - Country:US
Mailing Address - Phone:256-621-2858
Mailing Address - Fax:509-962-4668
Practice Address - Street 1:1011 N ALDER ST
Practice Address - Street 2:
Practice Address - City:ELLENSBURG
Practice Address - State:WA
Practice Address - Zip Code:98926-2699
Practice Address - Country:US
Practice Address - Phone:256-621-2858
Practice Address - Fax:509-962-4668
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-21
Last Update Date:2022-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty