| Name: | Hart Chiropractic LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 03 Feb 2012 (13 years ago) (Companies founded in February 2012) |
| Entity Number: | 000-039-762 |
| Register Number: | 000039762 |
| ZIP code: | 36109 (Companies in Montgomery, 36109) |
| County: | Montgomery |
| Place of Formation: | Montgomery County |
| Principal Address: | 4135 ATLANTA HIGHWAYMONTGOMERY, AL 36109 |
| Principal Mailing Address: | PO BOX 242893MONTGOMERY, AL 36124 |
| Registered Office Street Address: | 4367 ATLANTA HIGHWAYMONTGOMERY, AL 36109 |
Activities
CHIROPRACTIC
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1578835542 | 2012-02-06 | 2023-02-04 | 4367 ATLANTA HWY, MONTGOMERY, AL, 361093171, US | 4367 ATLANTA HWY, MONTGOMERY, AL, 361093171, US | |||||||||||||||||||||||||||||||||||||
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| Phone | +1 334-558-0906 |
| Fax | 3345580910 |
Authorized person
| Name | BRITTANY TRUITT |
| Role | OFFICE MANAGER |
| Phone | 3345580906 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| Is Primary | No |
| Taxonomy Code | 225700000X - Massage Therapist |
| Is Primary | No |
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| Is Primary | Yes |
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| License Number | 2056 |
| State | AL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | STATE LICENSE |
| Number | 2056 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| HART, JASON | Agent | 4135 ATLANTA HIGHWAYMONTGOMERY, AL 36109 |
| Name | Role | Address |
|---|---|---|
| HART, JASON | Organizer | 4135 ATLANTA HIGHWAYMONTGOMERY, AL 36109 |
Date of last update: 30 Jul 2024
Sources: Alabama Secretary of State
