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JILLIAN E. BIVONA LLC

Details

Name: JILLIAN E. BIVONA LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 15 Mar 2016 (9 years ago) (Companies founded in March 2016)
Entity Number: 000-356-558
Register Number: 000356558
ZIP code: 35022 (Companies in Jefferson, 35022)
County: Jefferson
Place of Formation: Jefferson County
Registered Office Street Address: 4930 WAR EAGLE DRIVEBESSEMER, AL 35022

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1538881024 2022-09-13 2022-09-21 301 22ND AVE E, JASPER, AL, 355014023, US 301 22ND AVE E, JASPER, AL, 355014023, US

Contacts

Phone +1 205-384-5358
Fax 2053845360

Authorized person

Name COURTNEY LEIGH ANNE HICE
Role INSURANCE SPECIALIST
Phone 2053845358

Taxonomy

Taxonomy Code 111N00000X - Chiropractor
Is Primary Yes

Agent

Name Role
BIVONA, JILLIAN E Agent

Date of last update: 03 Aug 2024

Sources: Alabama Secretary of State