Name: | The Wade Clinic of Chiropractic, P.C. |
Jurisdiction: | Alabama |
Legal type: | Domestic Professional Corporation |
Status: | Dissolved |
Date of registration: | 14 May 1985 (39 years ago) |
Date of dissolution: | 28 Dec 2016 |
Entity Number: | 000-103-968 |
Register Number: | 000103968 |
County: | Calhoun |
Place of Formation: | Calhoun County |
Principal Address: | OXFORD, AL |
Registered Office Street Address: | 404 SNOW STOXFORD, AL 36203 |
Registered Office Street Address ZIP Code: | 36203 |
Authorized Capital: | $2,000 |
Paid Share Capital: | $2,000 |
Activities
CHIROPRACTIC
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1770806366 | 2010-03-10 | 2010-03-10 | 620 QUINTARD DR, SUITE 201, OXFORD, AL, 362031840, US | 620 QUINTARD DR, SUITE 201, OXFORD, AL, 362031840, US | |||||||||||||||||||||||||
|
Phone | +1 256-237-9423 |
Fax | 2562376007 |
Authorized person
Name | DR. DAVID E WADE |
Role | OWNER |
Phone | 2562379423 |
Taxonomy
Taxonomy Code | 261Q00000X - Clinic/Center |
License Number | 1059 |
State | AL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICARE IDENTIFICATION NUMBER |
Number | 000070824 |
State | AL |
Name | Role | Address |
---|---|---|
WADE, DAVID E | Agent | 828 SOUTH QUINTARD AVENUEOXFORD, AL 36203 |
Name | Role | Address |
---|---|---|
WADE, DAVID E | Incorporator | 828 SOUTH QUINTARD AVENUEOXFORD, AL 36203 |
Date of last update: 31 Jul 2024
Sources: Alabama Secretary of State