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Moffett Road Chiropractic, P.C.

Details

Name: Moffett Road Chiropractic, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 20 Jan 1998 (27 years ago) (Companies founded in January 1998)
Entity Number: 000-192-617
Register Number: 000192617
ZIP code: 36618 (Companies in Mobile, 36618)
County: Mobile
Place of Formation: Mobile County
Principal Address: MOBILE, AL
Registered Office Street Address: 4725-A MOFFETT ROADMOBILE, AL 36618
Authorized Capital: $3,000

Activities PROFESSIONAL CHIROPRACTIC SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1609973619 2006-09-20 2008-10-09 5017 MOFFETT RD, MOBILE, AL, 366182207, US 5017 MOFFETT RD, MOBILE, AL, 366182207, US

Contacts

Phone +1 251-380-0308
Fax 2513800309

Authorized person

Name DR. JESSICA SEEMATTER JONES
Role PRESIDENT
Phone 2513800308

Taxonomy

Taxonomy Code 111N00000X - Chiropractor
License Number 1844
State AL
Is Primary No
Taxonomy Code 111N00000X - Chiropractor
License Number 1846
State AL
Is Primary Yes

Other Provider Identifiers

Issuer BCBS
Number 51077800
State AL
Issuer BCBS
Number 51077801
State AL

Agent

Name Role
SEEMATTER, JESSICA Agent

Incorporator

Name Role
SEEMATTER, JESSICA Incorporator

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State