Name: | Alabama Valley Chiropractic, Inc. |
Jurisdiction: | Alabama |
Legal type: | Domestic Corporation |
Status: | Dissolved |
Date of registration: | 27 May 1998 (26 years ago) |
Date of dissolution: | 23 May 2013 |
Entity Number: | 000-195-654 |
Register Number: | 000195654 |
County: | Limestone |
Place of Formation: | Limestone County |
Principal Address: | ATHENS, AL |
Registered Office Street Address: | 302 CRESTVIEW STATHENS, AL 35611 |
Registered Office Street Address ZIP Code: | 35611 |
Authorized Capital: | $1,000 |
Paid Share Capital: | $100 |
Activities
DETECT & REMOVE SUBLUXATION FROM THE HUMAN BODY
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1780742122 | 2006-12-05 | 2008-08-20 | 302 CRESTVIEW ST, ATHENS, AL, 35611, US | 302 CRESTVIEW ST, ATHENS, AL, 35611, US | |||||||||||||||||||||||||
|
Phone | +1 256-232-1935 |
Fax | 2562327528 |
Authorized person
Name | MR. KENNY LEE ELDRED |
Role | DOCTOR OWNER |
Phone | 2562321935 |
Taxonomy
Taxonomy Code | 111N00000X - Chiropractor |
License Number | 0496 |
State | AL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | BCBS |
Number | 97224 |
State | AL |
Name | Role |
---|---|
ELDRED, K L | Agent |
Name | Role |
---|---|
ELDRED, K L | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State