Healthcare Provider Details

I. General information

NPI: 1487847356
Provider Name (Legal Business Name): ALPINE FAMILY CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/23/2007
Last Update Date: 05/09/2024
Certification Date: 04/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

828 CENTER AVE
PAYETTE ID
83661-2536
US

IV. Provider business mailing address

828 CENTER AVE
PAYETTE ID
83661-2536
US

V. Phone/Fax

Practice location:
  • Phone: 208-642-2344
  • Fax: 208-642-4060
Mailing address:
  • Phone: 208-642-2344
  • Fax: 208-642-4060

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCHIA-1173
License Number StateID

VIII. Authorized Official

Name: DR. ANTHONY LEON STRASSER
Title or Position: OWNER
Credential: D.C.
Phone: 208-642-2344