| Name: | HAZEL GREEN CHIROPRACTIC INC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 20 Mar 2014 (11 years ago) (Companies founded in March 2014) |
| Entity Number: | 000-299-632 |
| Register Number: | 000299632 |
| ZIP code: | 35750 (Companies in Madison, 35750) |
| County: | Madison |
| Place of Formation: | Madison County |
| Principal Address: | 13971 HWY 231 431 NORTHHAZEL GREEN, AL 35750 |
| Registered Office Street Address: | 13596 HWY 231 431 NORTH STE 7HAZEL GREEN, AL 35750 |
| Authorized Capital: | 1000 @ $1.00 PV |
Activities
CHIROPRACTIC CLINIC
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1770763047 | 2007-11-05 | 2007-11-05 | 13596 HIGHWAY 231 431 N, SUITE 7, HAZEL GREEN, AL, 357508617, US | 13596 HIGHWAY 231 431 N, SUITE 7, HAZEL GREEN, AL, 357508617, US | |||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||
| Phone | +1 256-828-4288 |
Authorized person
| Name | DR. JOHN CHRISTIAN BOYLE |
| Role | OWNER |
| Phone | 2568284288 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | 2102 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS AL |
| Number | 51534978 |
| State | AL |
| Issuer | AETNA |
| Number | 0007183186 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| BOYLE, JOHN | Director | 13596 HWY 231 431 NORTH STE 7HAZEL GREEN, AL 35750 |
| Name | Role | Address |
|---|---|---|
| BOYLE, JOHN | Incorporator | 13596 HWY 231 431 NORTH STE 7HAZEL GREEN, AL 35750 |
| Name | Role | Address |
|---|---|---|
| BOYLE, JOHN | Agent | 13596 HWY 231 431 NORTH STE 7HAZEL GREEN, AL 35750 |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
