| Name: | McClellan Family Chiropractic, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 10 Oct 2001 (23 years ago) (Companies founded in October 2001) |
| Entity Number: | 000-219-371 |
| Register Number: | 000219371 |
| ZIP code: | 36206 (Companies in Calhoun, 36206) |
| County: | Calhoun |
| Place of Formation: | Calhoun County |
| Principal Address: | ANNISTON, AL |
| Registered Office Street Address: | 1021 US HIGHWAY 431 STE 12ANNISTON, AL 36206 |
| Authorized Capital: | $1,000 |
| Paid Share Capital: | $1,000 |
Activities
CHIROPRACTIC SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1669747879 | 2012-03-21 | 2012-04-10 | PO BOX 4098, ANNISTON, AL, 36204, US | 1021 US HWY 431, SUITE 12, ANNISTON, AL, 36206, US | |||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||
| Phone | +1 256-238-0673 |
| Fax | 2562380675 |
Authorized person
| Name | DR. DANIEL SCOTT MCCLELLAN |
| Role | PRESIDENT |
| Phone | 2562380673 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | 1441 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICARE TYPE 2 NPI |
| Number | 1669747879 |
| State | AL |
| Name | Role |
|---|---|
| MCCLELLAN, DANIEL | Agent |
| Name | Role |
|---|---|
| MCCLELLAN, DANIEL | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
