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The Wade Clinic of Chiropractic, P.C.

Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
WADE, DAVID E Agent 828 SOUTH QUINTARD AVENUEOXFORD, AL 36203

Incorporator

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