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Integrated Wellness Providers, P.C.

Details

Name: Integrated Wellness Providers, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 18 Aug 2011 (13 years ago) (Companies founded in August 2011)
Entity Number: 000-023-103
Register Number: 000023103
ZIP code: 35903 (Companies in Etowah, 35903)
County: Etowah
Place of Formation: Etowah County
Principal Mailing Address: PO BOX 2236GADSDEN, AL 35903
Registered Office Mailing Address: PO BOX 2336GADSDEN, AL 35903
Principal Address: 3847 OLD HIGHWAY 278 EASTHOKES BLUFF, AL 35903
Authorized Capital: 100@ 10 PV

Activities PROVIDE PROFESSIONAL CHIROPRACTIC HEALTHCARE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1255612859 2011-09-09 2011-09-09 PO BOX 2336, GADSDEN, AL, 359030336, US 3847 OLD US HIGHWAY 278 E, HOKES BLUFF, AL, 359037507, US

Contacts

Phone +1 256-494-5053

Authorized person

Name DR. JANICE MARIE WAGNER
Role PRESIDENT/CHIROPRACTIC PHYSICIAN
Phone 2564945053

Taxonomy

Taxonomy Code 111N00000X - Chiropractor
License Number 2309
State AL
Is Primary Yes

Agent

Name Role Address
WAGNER, JANICE Agent 3847 OLD HIGHWAY 278 EASTHOKES BLUFF, AL 35903

Director

Name Role Address
WAGNER, JANICE Director 3847 OLD HIGHWAY 278 EASTHOKES BLUFF, AL 35903

Incorporator

Name Role Address
WAGNER, JANICE Incorporator 3847 OLD HIGHWAY 278 EASTHOKES BLUFF, AL 35903

Date of last update: 30 Jul 2024

Sources: Alabama Secretary of State