MEDICARE: MCALPINE CHIROPRACTIC GROUP, P.C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	2301002489	MI

General Provider Information

NPI Number	:	1497886915
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MCALPINE CHIROPRACTIC GROUP, P.C

Provider Business Mailing Address
First Line	:	500 W 17TH ST
Second Line	:
City	:	HOLLAND
State	:	MI
Zip	:	49423-3437
Country	:	US
Telephone Number	:	616-392-7031
Fax Number	:	616-392-7048

Provider Business Practice Location Address
First Line	:	500 W 17TH ST
Second Line	:
City	:	HOLLAND
State	:	MI
Zip	:	49423-3437
Country	:	US
Telephone Number	:	616-392-7031
Fax Number	:	616-392-7048

Authorized Official
Title or Position	:	MEDICAL BILLER
Name	:	SARA DU
Credential	:
Telephone Number	:	616-392-7031

Provider Enumeration Date	:	03/08/2007
Last Update Date	:	08/22/2020

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