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CHIROPRACTIC CARE, INC.

Details

Name: CHIROPRACTIC CARE, INC.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Exists
Date of registration: 02 Jan 2015 (10 years ago)
Entity Number: 000-325-569
Register Number: 000325569
County: Baldwin
Place of Formation: Baldwin County
Registered Office Street Address: 3325 GULF SHORES PARKWAYGULF SHORES, AL 36542
Registered Office Street Address ZIP Code: 36542
Authorized Capital: 1000 @ $1.00 PV

Activities ANY LAWFUL ACT

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1295125490 2015-01-27 2020-08-12 PO BOX 899, GULF SHORES, AL, 365470899, US 3533 GULF SHORES PARKWAY, GULF SHORES, AL, 36542, US

Contacts

Phone +1 251-968-2000
Fax 2519685953

Authorized person

Name DR. LYLE KEITH COOPER
Role DOCTOR
Phone 2519682000

Taxonomy

Taxonomy Code 111N00000X - Chiropractor
License Number 1061
State AL
Is Primary Yes

Other Provider Identifiers

Issuer SOLE PROP NPI - PRIOR TO INCORPORATION
Number 1851490981
State AL
Issuer CAQH
Number 11423356

Director

Name Role
COOPER, LYLE K Director
COOPER, DENISE T Director

Incorporator

Name Role
COOPER, LYLE K Incorporator

Agent

Name Role
COOPER, LYLE K Agent

Date of last update: 03 Aug 2024

Sources: Alabama Secretary of State