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Andalusia Chiropractic, Inc.

Details

Name: Andalusia Chiropractic, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Dissolved
Date of registration: 18 Mar 2009 (16 years ago) (Companies founded in March 2009)
Date of dissolution: 27 Dec 2018
Entity Number: 000-260-363
Register Number: 000260363
ZIP code: 36420 (Companies in Covington, 36420)
County: Covington
Place of Formation: Covington County
Principal Address: ANDALUSIA, AL
Registered Office Street Address: 603 MLK JR EXPYANDALUSIA, AL 36420
Authorized Capital: 3,000

Activities CHIROPRACTIC SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1578794418 2009-07-27 2012-04-24 1805 E THREE NOTCH ST, SUITE 1, ANDALUSIA, AL, 364212403, US 1805 E THREE NOTCH ST, SUITE 1, ANDALUSIA, AL, 364212403, US

Contacts

Phone +1 334-222-2301
Fax 3342222305

Authorized person

Name DR. CHERYL ANN BLANCK
Role DIRECTOR, ANDALUSIA CHIROPRACTIC
Phone 3342222301

Taxonomy

Taxonomy Code 111N00000X - Chiropractor
License Number 2273
State AL
Is Primary Yes

Agent

Name Role
POWELL, GREGORY F Agent

Incorporator

Name Role
POWELL, GREGORY F Incorporator

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State