| Name: | Rose Chiropractic Incorporated |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 27 Apr 2005 (20 years ago) |
| Entity Number: | 000-241-131 |
| Register Number: | 000241131 |
| County: | Montgomery |
| Place of Formation: | Montgomery County |
| Principal Address: | MONTOGMERY, AL |
| Registered Office Street Address: | 1006 SOUTH COURT STMONTGOMERY, AL 36104 |
| Registered Office Street Address ZIP Code: | 36104 |
| Authorized Capital: | $1,000 |
Activities
CHIROPRACTIC SERVICE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1851589907 | 2007-10-12 | 2018-03-17 | PO BOX 230427, MONTGOMERY, AL, 361230427, US | 2941 ZELDA RD STE B, MONTGOMERY, AL, 361062699, US | |||||||||||||||||||||||||||||
|
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| Phone | +1 334-264-7948 |
| Fax | 3342648616 |
Authorized person
| Name | TIMOTHY D ROSE |
| Role | PRESIDENT |
| Phone | 3342647948 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | 2094 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS |
| Number | 510-01480 |
| State | AL |
| Issuer | MEDICARE GROUP NUMBER |
| Number | K375 |
| Name | Role |
|---|---|
| ROSE, TIMOTHY | Agent |
| Name | Role |
|---|---|
| ROSE, TIMOTHY | Incorporator |
| ROSE, SUZANNE | Incorporator |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
