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COVINGTON SPINE CENTER, INC.

Details

Name: COVINGTON SPINE CENTER, INC.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Exists
Date of registration: 25 Jan 2006 (19 years ago)
Entity Number: 000-245-324
Register Number: 000245324
County: Covington
Place of Formation: Covington County
Registered Office Street Address: 512 SOUTH THREE NOTCH STREETANDALUSIA, AL 36420
Registered Office Street Address ZIP Code: 36420
Principal Address: ANDALUSIA, AL
Registered Office Mailing Address: P.O. BOX 42ANDALUSIA, AL 36420
Registered Office Mailing Address ZIP Code: 36420
Authorized Capital: $1,000

Activities ANY LAWFUL ACTIVITY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1548476716 2007-05-15 2020-08-22 PO BOX 42, ANDALUSIA, AL, 364201200, US 305 S THREE NOTCH ST, ANDALUSIA, AL, 364204427, US

Contacts

Phone +1 334-428-2225
Fax 3344282222

Authorized person

Name NIKKI COBB
Role CHIEF FINANCIAL OFFICER
Phone 3344282225

Taxonomy

Taxonomy Code 111N00000X - Chiropractor
License Number AL 1919
State AL
Is Primary Yes

Other Provider Identifiers

Issuer BCBS OF ALABAMA
Number 51003674
State AL

Agent

Name Role
COBB, JO ELLEN Agent

Incorporator

Name Role Address
COBB, MICHAEL Incorporator 38 MILTON LANEOXFORD, AL 36203
COBB, SHANNON Incorporator No data

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State