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Seaside Chiropractic And Wellness LLC

Details

Name: Seaside Chiropractic And Wellness LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 05 Nov 2015 (9 years ago)
Entity Number: 000-348-359
Register Number: 000348359
County: Baldwin
Place of Formation: Baldwin County
Registered Office Street Address: 28150 N MAIN STREETDAPHNE, AL 36526
Registered Office Street Address ZIP Code: 36526

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1467825935 2015-11-05 2015-11-05 28150 N MAIN ST STE A, DAPHNE, AL, 365267038, US 28150 N MAIN ST STE A, DAPHNE, AL, 365267038, US

Contacts

Phone +1 251-621-9010
Fax 2516219011

Authorized person

Name DR. JERRY DWAYNE NASHMAN
Role PRESIDENT/OWNER
Phone 2516219010

Taxonomy

Taxonomy Code 111N00000X - Chiropractor
License Number 2469
State AL
Is Primary Yes

Agent

Name Role
NASHMAN, JERRY Agent

Date of last update: 03 Aug 2024

Sources: Alabama Secretary of State