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Tenn Chiropractic Clinic, Inc.

Details

Name: Tenn Chiropractic Clinic, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Dissolved
Date of registration: 08 Jul 2008 (16 years ago)
Date of dissolution: 07 Oct 2014
Entity Number: 000-257-989
Register Number: 000257989
County: Shelby
Place of Formation: Jefferson County
Principal Address: PELHAM, AL
Registered Office Street Address: 377 HUNTLEY PARKWAYPELHAM, AL 35124
Registered Office Street Address ZIP Code: 35124
Authorized Capital: 1,000

Activities CHIROPRACTIC/MEDICAL/PHYSICAL THERAPY TREATMENT

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1992953061 2008-09-03 2008-12-03 377 HUNTLEY PARKWAY, PELHAM, AL, 35124, US 377 HUNTLEY PARKWAY, PELHAM, AL, 35124, US

Contacts

Phone +1 205-621-5555
Fax 2056213500

Authorized person

Name DR. MICHAEL GREGORY TENN
Role PRESIDENT
Phone 2056215555

Taxonomy

Taxonomy Code 261QH0100X - Health Service Clinic/Center
License Number 2235
State AL
Is Primary Yes

Other Provider Identifiers

Issuer NPI
Number 1093740904
State AL
Issuer MEDICARE ID
Number AB32066
State AL

Agent

Name Role
TENN, MICHAEL Agent

Incorporator

Name Role
TENN, MICHAEL Incorporator

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State