| Name: | Dothan Chiropractic Clinic, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 23 Feb 1996 (29 years ago) |
| Entity Number: | 000-177-986 |
| Register Number: | 000177986 |
| County: | Houston |
| Place of Formation: | Houston County |
| Principal Address: | DOTHAN, AL |
| Registered Office Street Address: | 441 S OATES STDOTHAN, AL 36301 |
| Registered Office Street Address ZIP Code: | 36301 |
| Authorized Capital: | $1,000 |
Activities
PROFESSIONAL CHIROPRACTIC CLINIC
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1740340835 | 2006-12-11 | 2012-12-12 | 1817 S OATES ST, DOTHAN, AL, 363014449, US | 1817 S OATES ST, DOTHAN, AL, 363014449, US | |||||||||||||||||||||||||
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| Phone | +1 334-793-1081 |
| Fax | 3347927600 |
Authorized person
| Name | DR. PAUL D WEEKS |
| Role | PRESIDENT |
| Phone | 3347931081 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | 2089 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 529928260 |
| State | AL |
| Name | Role |
|---|---|
| LINDSEY, RAYMOND E | Agent |
| Name | Role |
|---|---|
| LINDSEY, RAYMOND E | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
