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Henderson Chiropractic, Inc.

Details

Name: Henderson Chiropractic, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Exists
Date of registration: 11 Mar 1999 (26 years ago) (Companies founded in March 1999)
Entity Number: 000-201-434
Register Number: 000201434
ZIP code: 36784 (Companies in Clarke, 36784)
County: Clarke
Place of Formation: Clarke County
Principal Address: THOMASVILLE, AL
Registered Office Street Address: 211 WEST 3RD STREETTHOMASVILLE, AL 36784
Authorized Capital: $1,000

Activities OWN/MAINTAIN A BUSINESS OF A CHIROPRACTIC CLINIC

National Provider Identifier

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

Contacts

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

Agent

Name Role
HENDERSON, ALLEN R Agent

Incorporator

Name Role
HENDERSON, ALLEN R Incorporator

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State