| Name: | Bennett Chiropractic Clinic, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 20 Feb 2015 (10 years ago) |
| Entity Number: | 000-329-327 |
| Register Number: | 000329327 |
| Place of Formation: | Cullman County |
| Registered Office Street Address: | 909 GRAHAM ST SW SUITE BCULLMAN, AL 35505 |
Activities
NOT PROVIDED
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1114310984 | 2015-03-18 | 2015-05-15 | 909 GRAHAM ST SW, SUITE B, CULLMAN, AL, 350555237, US | 909 GRAHAM ST SW, SUITE B, CULLMAN, AL, 350555237, US | |||||||||||||||||||||||
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| Phone | +1 256-737-9500 |
Authorized person
| Name | CARY BENNETT |
| Role | OWNER |
| Phone | 2567379500 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | 1225 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | 511-60634 |
| State | AL |
| Name | Role |
|---|---|
| BENNETT, CARY V M | Agent |
| Name | Role |
|---|---|
| BENNETT, CARY V M | Organizer |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State
