| Name: | Choice Chiropractic, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Dissolved |
| Date of registration: | 01 Jul 2014 (10 years ago) |
| Date of dissolution: | 24 Mar 2023 |
| Entity Number: | 000-313-065 |
| Register Number: | 000313065 |
| County: | Madison |
| Place of Formation: | Madison County |
| Registered Office Street Address: | 6903 TRICK LANEOWENS CROSS ROADS, AL 35763 |
| Registered Office Street Address ZIP Code: | 35763 |
| Authorized Capital: | 1000 @ $1.00PV |
Activities
CHIROPRACTIC SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1811398548 | 2014-09-12 | 2014-09-12 | 5575 HIGHWAY 431 S, SUITE 104, BROWNSBORO, AL, 357419748, US | 5575 HIGHWAY 431 S, SUITE 104, BROWNSBORO, AL, 357419748, US | |||||||||||||||||||||||||||||
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| Phone | +1 256-270-8059 |
| Fax | 2567151853 |
Authorized person
| Name | DR. TIMOTHY E SARGEANT |
| Role | OWNER |
| Phone | 2565096091 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | AL1792 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BC/BS OF ALABAMA AND MEDICARE PROVIDER NUMBER |
| Number | 051518251 |
| State | AL |
| Issuer | INDIVIDUAL NPI |
| Number | 1285741371 |
| Name | Role |
|---|---|
| JORDAN, PATRICK | Agent |
| Name | Role | Address |
|---|---|---|
| SARGEANT, TIMOTHY E | Director | 6903 TRICK LANEOWENS CROSS ROADS, AL 35763 |
| Name | Role | Address |
|---|---|---|
| SARGEANT, TIMOTHY E | Incorporator | 6903 TRICK LANEOWENS CROSS ROADS, AL 35763 |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State
