| Name: | PRIME SPINE, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 31 Oct 2011 (13 years ago) |
| Entity Number: | 000-029-563 |
| Register Number: | 000029563 |
| County: | Shelby |
| Place of Formation: | Shelby County |
| Registered Office Street Address: | 642 FOREST LAKES DRIVESTERRETT, AL 35147 |
| Registered Office Street Address ZIP Code: | 35147 |
Activities
CHIROPRACTIC CARE/SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1093137739 | 2014-01-15 | 2018-03-17 | 700 MONTGOMERY HWY STE 164, VESTAVIA, AL, 352161875, US | 700 MONTGOMERY HWY STE 164, VESTAVIA, AL, 352161875, US | |||||||||||||||||||
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| Phone | +1 205-414-7895 |
| Fax | 2054147896 |
Authorized person
| Name | DR. MILTON M. SMITH III |
| Role | OWNER |
| Phone | 2054147895 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | 2245 |
| State | AL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SMITH, MILTON M III | Agent | 642 FOREST LAKES DRIVESTERRETT, AL 35147 |
| Name | Role | Address |
|---|---|---|
| SMITH, MILTON M III | Organizer | 642 FOREST LAKES DRIVESTERRETT, AL 35147 |
Date of last update: 30 Jul 2024
Sources: Alabama Secretary of State
