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Central Alabama Clinic of Chiropractic, LLC

Details

Name: Central Alabama Clinic of Chiropractic, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Dissolved
Date of registration: 28 Jan 2013 (12 years ago)
Date of dissolution: 20 Dec 2019
Entity Number: 000-273-391
Register Number: 000273391
Historical Names: Harrison Family Chiropractic, LLC
County: Shelby
Place of Formation: Jefferson County
Principal Address: 1974 CHANDALAR DRIVE SUITE DPELHAM, AL 35124
Principal Address ZIP Code: 35124
Registered Office Street Address: 100 OXMOORE ROAD SUITE 110BIRMINGHAM, AL 35209
Registered Office Street Address ZIP Code: 35209

Activities HEALTHCARE/CHIROPRACTORS

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1588084214 2014-04-21 2014-04-21 5803 SWEETBRIER LN, TUSCALOOSA, AL, 354055658, US 1974 CHANDALAR DR STE D, PELHAM, AL, 351241393, US

Contacts

Phone +1 205-358-3515
Fax 2053583517

Authorized person

Name DR. PERRY HARRISON
Role OWNER
Phone 2055350990

Taxonomy

Taxonomy Code 111N00000X - Chiropractor
License Number 2391
State AL
Is Primary Yes

Other Provider Identifiers

Issuer INDIVIDUAL NPI
Number 1922340892

Agent

Name Role Address
USCA INC Agent 101 N BRAND BLVD 11TH FLGLENDALE, CA 91203

Organizer

Name Role Address
LEGALZOOM.COM Organizer 101 N BRAND BLVD 11TH FLGLENDALE, CA 91203

Events

Event Date Event Type Old Value New Value
2014-01-21 Name Change Harrison Family Chiropractic, LLC Central Alabama Clinic of Chiropractic, LLC

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State