Provider Demographics
NPI:1750558763
Name:MCALPINE CHIROPRACTIC CLINIC PC
Entity type:Organization
Organization Name:MCALPINE CHIROPRACTIC CLINIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCALPINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:810-664-4741
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-09
Last Update Date:2008-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIFM002311111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI950D410610OtherBC
MI1698783Medicaid
MI950D450030OtherBCN
MI=========OtherCOMMERCIAL
MI950D410610OtherBC