| Name: | Corfman Chiropractic Group, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 11 Oct 2005 (19 years ago) |
| Entity Number: | 000-243-725 |
| Register Number: | 000243725 |
| County: | Lauderdale |
| Place of Formation: | Lauderdale County |
| Registered Office Street Address: | 2134 HELTON DRIVEFLORENCE, AL 35630 |
| Registered Office Street Address ZIP Code: | 35630 |
| Principal Address: | FLORENCE, AL |
| Authorized Capital: | $2,500 |
Activities
CHIROPRACTIC SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1720462351 | 2015-07-14 | 2015-07-14 | 10981 HIGHWAY 101, LEXINGTON, AL, 356483741, US | 10981 HIGHWAY 101, LEXINGTON, AL, 356483741, US | |||||||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 256-789-7032 |
| Fax | 2567897031 |
Authorized person
| Name | DR. PAUL HOWARD CORFMAN |
| Role | CHIROPRACTOR/PRESIDENT |
| Phone | 2567897032 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | 1639 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | PALMETTO GBA RAILROAD MEDICARE |
| Number | P00284783 |
| Issuer | MEDICARE |
| Number | 051557394 |
| Issuer | BLUE CROSS AND BLUE SHIELD OF TENNESSEE |
| Number | 4128246 |
| State | TN |
| Issuer | BLUE CROSS AND BLUE SHIELD OF ALABAMA |
| Number | 51003159 |
| State | AL |
| Issuer | AETNA |
| Number | 5470134 |
| Name | Role |
|---|---|
| CORFMAN, PAUL H | Agent |
| Name | Role | Address |
|---|---|---|
| CORLEY, TIMOTHY K | Incorporator | 2815 DARBY DRIVEFLORENCE, AL 35630 |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
