| Name: | Shiver Chiropractic Clinic, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 03 Apr 1991 (34 years ago) (Companies founded in April 1991) |
| Entity Number: | 000-142-321 |
| Register Number: | 000142321 |
| Historical Names: |
Hannen Health Care Clinic, P.C.
|
| ZIP code: | 36330 (Companies in Coffee, 36330) |
| County: | Coffee |
| Place of Formation: | Coffee County |
| Registered Office Street Address: | 557 GLOVER AVENUE SUITES 27 & 28ENTERPRISE, AL 36330 |
| Authorized Capital: | $1,000 |
| Paid Share Capital: | $1,000 |
Activities
REAL AND PERSONAL PROPERTY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1164582557 | 2006-12-08 | 2011-02-11 | PO BOX 311427, ENTERPRISE, AL, 363311427, US | 809 E LEE ST STE A, ENTERPRISE, AL, 363302072, US | |||||||||||||||||||||||||||
|
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| Phone | +1 334-393-9355 |
| Fax | 3343934372 |
| Phone | +1 334-393-3955 |
Authorized person
| Name | DR. CHARLES ANDREW SHIVER |
| Role | PRESIDENT |
| Phone | 3343939355 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | 2041 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | 515-54001 |
| State | AL |
| Name | Role |
|---|---|
| HANNEN, SCOTT K DR | Agent |
| Name | Role |
|---|---|
| HANNEN, SCOTT KEVIN DR | Incorporator |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2004-05-20 | Name Change | Hannen Health Care Clinic, P.C. | Shiver Chiropractic Clinic, P.C. |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
