| Name: | New Life Family Chiropractic, PC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 18 Mar 2011 (14 years ago) (Companies founded in March 2011) |
| Entity Number: | 000-006-618 |
| Register Number: | 000006618 |
| ZIP code: | 35601 (Companies in Morgan, 35601) |
| County: | Morgan |
| Place of Formation: | Morgan County |
| Principal Address: | 2314 6TH AVENUE SE SUITE CDECATUR, AL 35601 |
| Authorized Capital: | 5,000@ $1 PV |
Activities
PRACTICE OF CHIROPRACTIC MEDICINE/SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1083913602 | 2011-03-22 | 2011-06-06 | 2828 HIGHWAY 31 S, SUITE 104, DECATUR, AL, 356031510, US | 2828 HIGHWAY 31 S, SUITE 104, DECATUR, AL, 356031510, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 256-301-0110 |
| Fax | 2563010116 |
Authorized person
| Name | DR. MISTY MARIE BROWNING |
| Role | OWNER/DOCTOR |
| Phone | 2563010110 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | 2214 |
| State | AL |
| Is Primary | Yes |
| Taxonomy Code | 111NP0017X - Pediatric Chiropractor |
| License Number | 2214 |
| State | AL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICARE GROUP PTAN |
| Number | 102G351802 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| BROWNING, MISTY | Incorporator | 2314 6TH AVENUE SE SUITE CDECATUR, AL 35601 |
| Name | Role | Address |
|---|---|---|
| BROWNING, MISTY | Agent | 2314 6TH AVENUE SE SUITE CDECATUR, AL 35601 |
| Name | Role | Address |
|---|---|---|
| BROWNING, MISTY | Director | 2314 6TH AVENUE SE SUITE CDECATUR, AL 35601 |
Date of last update: 30 Jul 2024
Sources: Alabama Secretary of State
