| Name: | INTEGRATIVE CHIROPRACTIC, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 04 Jun 2015 (9 years ago) |
| Entity Number: | 000-337-229 |
| Register Number: | 000337229 |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Registered Office Street Address: | 1580 MONTGOMERY HIGHWAY, SUITE 14BIRMINGHAM, AL 35216 |
| Registered Office Street Address ZIP Code: | 35216 |
Activities
SALE/PROVISION OF CHIROPRACTIC/HEALTH RELATED SERVICES/GOODS
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1053793935 | 2015-06-26 | 2015-08-27 | 1580 MONTGOMERY HWY, SUITE 14, HOOVER, AL, 352164586, US | 1580 MONTGOMERY HWY, SUITE 14, HOOVER, AL, 352164586, US | |||||||||||||||||||
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| Phone | +1 205-637-1363 |
| Fax | 2056371391 |
Authorized person
| Name | DR. RYAN RUSSELL |
| Role | OWNER |
| Phone | 2056371363 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | 2449 |
| State | AL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| RUSSELL, RYAN | Agent | 8830 LEA BROOK STFAIRHOPE, AL 36532 |
| Name | Role | Address |
|---|---|---|
| JOHN TAYLOR RUSSELL | Manager | 1603 SHADES CLIFF RDJASPER, AL 35504 |
| Name | Role | Address |
|---|---|---|
| RYAN RUSSELL | Member | 1113 REGEANT DRBIRMINGHAM, AL 35226 |
| JOHN TAYLOR RUSSELL | Member | 1603 SHADES CLIFF RDJASPER, AL 35504 |
| Name | Role | Address |
|---|---|---|
| RUSSELL, RYAN | Organizer | 8830 LEA BROOK STFAIRHOPE, AL 36532 |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State
