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
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 | |||||||||||||||||||||||||
|
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 |
Name | Role |
---|---|
SCOTT, J BRENT | Agent |
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