Healthcare Provider Details

I. General information

NPI: 1558312603
Provider Name (Legal Business Name): FREDERIC J MCALPINE D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/13/2006
Last Update Date: 05/21/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 IMLAY CITY RD
LAPEER MI
48446-3178
US

IV. Provider business mailing address

520 IMLAY CITY RD
LAPEER MI
48446-3178
US

V. Phone/Fax

Practice location:
  • Phone: 810-664-4741
  • Fax: 810-664-2380
Mailing address:
  • Phone: 810-664-4741
  • Fax: 810-664-2380

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberFM002311
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: