Provider Demographics
NPI:1366851578
Name:THE ALPINE CLINIC, PLLC
Entity type:Organization
Organization Name:THE ALPINE CLINIC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:DR
Authorized Official - First Name:DOUGALD
Authorized Official - Middle Name:
Authorized Official - Last Name:MACARTHUR
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:603-823-8600
Mailing Address - Street 1:580 SAINT JOHNSBURY RD
Mailing Address - Street 2:SUITE 13
Mailing Address - City:LITTLETON
Mailing Address - State:NH
Mailing Address - Zip Code:03561-3437
Mailing Address - Country:US
Mailing Address - Phone:603-259-7700
Mailing Address - Fax:603-259-7679
Practice Address - Street 1:580 SAINT JOHNSBURY RD
Practice Address - Street 2:SUITE 13
Practice Address - City:LITTLETON
Practice Address - State:NH
Practice Address - Zip Code:03561-3437
Practice Address - Country:US
Practice Address - Phone:603-259-7700
Practice Address - Fax:603-259-7679
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-13
Last Update Date:2016-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NHNH11511207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty