| Name: | Henderson Chiropractic, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 11 Mar 1999 (26 years ago) |
| Entity Number: | 000-201-434 |
| Register Number: | 000201434 |
| County: | Clarke |
| Place of Formation: | Clarke County |
| Principal Address: | THOMASVILLE, AL |
| Registered Office Street Address: | 211 WEST 3RD STREETTHOMASVILLE, AL 36784 |
| Registered Office Street Address ZIP Code: | 36784 |
| Authorized Capital: | $1,000 |
Activities
OWN/MAINTAIN A BUSINESS OF A CHIROPRACTIC CLINIC
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1952814055 | 2017-11-10 | 2018-06-16 | 611 BROAD ST, SELMA, AL, 367014505, US | 611 BROAD ST, SELMA, AL, 367014505, US | |||||||||||||||||||||||
|
|||||||||||||||||||||||||||
| Phone | +1 334-872-4470 |
| Fax | 3348724471 |
Authorized person
| Name | DR. ALLEN R HENDERSON |
| Role | CEO |
| Phone | 3348724470 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | 1576 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS |
| Number | 7904 |
| Name | Role |
|---|---|
| HENDERSON, ALLEN R | Agent |
| Name | Role |
|---|---|
| HENDERSON, ALLEN R | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
