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Scott Family Chiropractic, Inc.

Details

Name: Scott Family Chiropractic, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Exists
Date of registration: 11 Jul 2006 (18 years ago)
Entity Number: 000-248-135
Register Number: 000248135
County: Colbert
Place of Formation: Colbert County
Principal Address: TUSCUMBIA, AL
Registered Office Street Address: 115 EAST FIFTH STTUSCUMBIA, AL 35674
Registered Office Street Address ZIP Code: 35674
Authorized Capital: $1,000

Activities CHIROPRACTIC PRACTICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1083726434 2006-08-31 2023-08-16 725 STATE ST, MUSCLE SHOALS, AL, 356612939, US 725 STATE ST, MUSCLE SHOALS, AL, 356612939, US

Contacts

Phone +1 256-383-6238
Fax 2563836234

Authorized person

Name DR. JEREMY B SCOTT
Role OWNER
Phone 2563836238

Taxonomy

Taxonomy Code 111N00000X - Chiropractor
License Number 2163
State AL
Is Primary Yes

Other Provider Identifiers

Issuer BCBS
Number 51535505
State AL

Agent

Name Role
SCOTT, J BRENT Agent

Incorporator

Name Role Address
SCOTT, J BRENT Incorporator No data
SCOTT, AMY J Incorporator 115 JEFF DRIVETUSCUMBIA, AL 35674

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State