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Fairfield Accident and Injury Center LLC

Details

Name: Fairfield Accident and Injury Center LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 12 Oct 2013 (11 years ago) (Companies founded in October 2013)
Entity Number: 000-289-374
Register Number: 000289374
ZIP code: 35064 (Companies in Jefferson, 35064)
County: Jefferson
Place of Formation: Jefferson County
Principal Address: 7070 ARONOV DRIVE SUITE EFAIRFIELD, AL 35064
Registered Office Street Address: 100 OXMOORE ROAD SUITE 110BIRMINGHAM, AL 35209

Activities CHIROPRACTORS

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1740617661 2013-10-09 2013-10-09 3424 RIDGE DELL CIR, VESTAVIA, AL, 352432812, US 3057 LORNA RD STE 103, HOOVER, AL, 352164517, US

Contacts

Phone +1 205-397-8295
Fax 2058221499

Authorized person

Name DR. CLAYTON ELLISON
Role OWNER
Phone 2053978295

Taxonomy

Taxonomy Code 111N00000X - Chiropractor
License Number 2257
State AL
Is Primary Yes

Organizer

Name Role Address
LEGALZOOM.COM INC Organizer 101 N BRAND BLVD 10TH FLOORGLENDALE, CA 91203

Agent

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

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State