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Burleson Chiropractic, P.C.

Details

Name: Burleson Chiropractic, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 29 Sep 1999 (25 years ago)
Entity Number: 000-205-671
Register Number: 000205671
County: Baldwin
Place of Formation: Baldwin County
Principal Address: DAPHNE, AL
Registered Office Street Address: 1203 HWY 98 STE 1-BDAPHNE, AL 36526
Registered Office Street Address ZIP Code: 36526
Authorized Capital: $1,000

Activities PROFESSIONAL CHIROPRACTIC MEDICAL PRACTICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1154486264 2006-12-27 2009-12-10 807 WILSON AVE, DAPHNE, AL, 365264221, US 807 WILSON AVE, DAPHNE, AL, 365264221, US

Contacts

Phone +1 251-626-9898
Fax 2516269901

Authorized person

Name DR. MICHAEL LANE BURLESON
Role OWNER
Phone 2516269898

Taxonomy

Taxonomy Code 111N00000X - Chiropractor
Is Primary Yes

Agent

Name Role
BURLESON, VICTORIA Agent

Incorporator

Name Role
BURLESON, VICTORIA Incorporator

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State