| Name: | La Vie Chiropractique PC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 18 Jun 2015 (9 years ago) (Companies founded in June 2015) |
| Entity Number: | 000-338-224 |
| Register Number: | 000338224 |
| ZIP code: | 35205 (Companies in Jefferson, 35205) |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Registered Office Street Address: | 334 6TH AVE SOUTHBIRMINGHAM, AL 35205 |
| Authorized Capital: | 10 |
Activities
PHYSICIAN CHIROPRACTIC SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1629589718 | 2017-10-17 | 2020-07-07 | 972 MONTCLAIR RD, BIRMINGHAM, AL, 352131204, US | 972 MONTCLAIR RD, BIRMINGHAM, AL, 352131204, US | |||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||
| Phone | +1 205-957-5445 |
| Fax | 2059575501 |
Authorized person
| Name | DR. TAJUAN WOODY |
| Role | CHIROPRACTOR |
| Phone | 2059575445 |
Taxonomy
| Taxonomy Code | 111NS0005X - Sports Physician Chiropractor |
| License Number | 2053 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NPI |
| Number | 1528280609 |
| State | AL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LA VIE CHIROPRACTIQUE PC - 401(K) | 2023 | 474288373 | 2024-10-20 | LA VIE CHIROPRACTIQUE PC | 7 | |||||||||||||||||||||||
|
||||||||||||||||||||||||||||
| Role | Plan administrator |
| Date | 2024-10-20 |
| Name of individual signing | DR.TAJUAN WOODY |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 621310 |
| Sponsor’s telephone number | 2059575445 |
| Plan sponsor’s address | 972 MONTCLAIR RD, BIRMINGHAM, AL, 35213 |
Signature of
| Role | Plan administrator |
| Date | 2023-10-04 |
| Name of individual signing | DR.TAJUAN WOODY |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 621310 |
| Sponsor’s telephone number | 2059575445 |
| Plan sponsor’s address | 972 MONTCLAIR RD, BIRMINGHAM, AL, 35213 |
Signature of
| Role | Plan administrator |
| Date | 2022-07-15 |
| Name of individual signing | DR.TAJUAN WOODY |
| Name | Role |
|---|---|
| WAHINGTON, FREDERIC | Agent |
| Name | Role | Address |
|---|---|---|
| WOODY, TAJUAN | Director | 801 MONTCLAIR RDBIRMINGHAM, AL 35213 |
| Name | Role | Address |
|---|---|---|
| WOODY, TAJUAN | Incorporator | 801 MONTCLAIR RDBIRMINGHAM, AL 35213 |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State
