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