| Name: | Dr. Paula Gilliam Chiropractic Clinic, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 30 Jun 1986 (38 years ago) (Companies founded in June 1986) |
| Entity Number: | 000-111-457 |
| Register Number: | 000111457 |
| Historical Names: |
Jordan Place Clinic, Inc.
|
| ZIP code: | 35816 (Companies in Madison, 35816) |
| County: | Madison |
| Place of Formation: | Madison County |
| Principal Address: | HUNTSVILLE, AL |
| Registered Office Street Address: | 1100 JORDAN LAND STE CHUNTSVILLE, AL 35816 |
| Authorized Capital: | $1,000 |
Activities
CHIROPRACTIC SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1497818496 | 2006-12-19 | 2012-02-06 | 1900 SPARKMAN DR NW #A, HUNTSVILLE, AL, 35816, US | 1900 SPARKMAN DR NW # A, HUNTSVILLE, AL, 358161124, US | |||||||||||||||||||||||||
|
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| Phone | +1 256-430-0021 |
| Fax | 2568301364 |
Authorized person
| Name | DR. PAULA DEAN GILLIAM |
| Role | PRESIDENT |
| Phone | 2564300021 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | 0961 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS |
| Number | 510-70500 |
| State | AL |
| Name | Role |
|---|---|
| NIX, PAULA GILLIAM | Agent |
| Name | Role |
|---|---|
| NIX, PAULA GILLIAM | Incorporator |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 1990-09-24 | Name Change | Jordan Place Clinic, Inc. | Dr. Paula Gilliam Chiropractic Clinic, Inc. |
Date of last update: 31 Jul 2024
Sources: Alabama Secretary of State
