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Elk River Chiropractic Clinic, P.A., P.C.

Details

Name: Elk River Chiropractic Clinic, P.A., P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Dissolved
Date of registration: 04 Mar 1999 (26 years ago) (Companies founded in March 1999)
Date of dissolution: 12 Mar 2015
Entity Number: 000-201-208
Register Number: 000201208
ZIP code: 35652 (Companies in Lauderdale, 35652)
County: Lauderdale
Place of Formation: Lauderdale County
Principal Address: ROGERSVILLE, AL
Registered Office Street Address: 17493 HWY 72ROGERSVILLE, AL 35652
Authorized Capital: $2,500
Paid Share Capital: $2,500

Activities PRACTICE OF CHIROPRACTIC HEALTH CARE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1982810180 2007-05-15 2014-02-26 17493 HIGHWAY 72, ROGERSVILLE, AL, 356528109, US 17493 HIGHWAY 72, ROGERSVILLE, AL, 356528109, US

Contacts

Phone +1 256-247-7702
Fax 2562477749

Authorized person

Name DR. LARRY THOMAS MARTIN
Role DR.
Phone 2562477702

Taxonomy

Taxonomy Code 111N00000X - Chiropractor
License Number 1819
State AL
Is Primary Yes

Agent

Name Role
MARTIN, LARRY T Agent

Incorporator

Name Role
MARTIN, LARRY T Incorporator

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State