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Whiddon Healthcare, Inc.

Details

Name: Whiddon Healthcare, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Exists
Date of registration: 23 Dec 2008 (16 years ago) (Companies founded in December 2008)
Entity Number: 000-259-510
Register Number: 000259510
ZIP code: 35096 (Companies in Talladega, 35096)
County: Talladega
Place of Formation: Talladega County
Principal Address: LINCOLN, AL
Registered Office Street Address: 47795 US HWY 78LINCOLN, AL 35096
Authorized Capital: 100

Activities CHIROPRACTIC SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1295971968 2008-12-30 2008-12-30 47795 US HIGHWAY 78, LINCOLN, AL, 350966755, US 47795 US HIGHWAY 78, LINCOLN, AL, 350966755, US

Contacts

Phone +1 205-763-2222
Fax 2057637540

Authorized person

Name DR. JOSHUA WHIDDON
Role OWNER
Phone 2057632222

Taxonomy

Taxonomy Code 111N00000X - Chiropractor
License Number 2123
State AL
Is Primary Yes

Other Provider Identifiers

Issuer BLUE CROSS BLUE SHIELD
Number 51534993
State AL

Agent

Name Role
WHIDDON, J ANDREW Agent

Incorporator

Name Role
WHIDDON, J ANDREW Incorporator

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State