Provider Demographics
NPI:1689482234
Name:ALPINE CHIROPRACTIC LLC
Entity type:Organization
Organization Name:ALPINE CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:HINDS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:774-313-8305
Mailing Address - Street 1:11 MEMORIAL DR STE 2
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02360-3877
Mailing Address - Country:US
Mailing Address - Phone:774-313-8305
Mailing Address - Fax:
Practice Address - Street 1:11 MEMORIAL DR STE 2
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02360-3877
Practice Address - Country:US
Practice Address - Phone:774-313-8305
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-27
Last Update Date:2024-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty