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Advanced Chiropractic LLC

Details

Name: Advanced Chiropractic LLC
Jurisdiction: Alabama
Legal type: Domestic Professional Limited Liability Company
Status: Exists
Date of registration: 01 Aug 2016 (8 years ago) (Companies founded in August 2016)
Entity Number: 000-368-467
Register Number: 000368467
ZIP code: 35640 (Companies in Morgan, 35640)
County: Morgan
Place of Formation: Morgan County
Registered Office Street Address: 623 BLACK ROADHARTSELLE, AL 35640

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1891231114 2017-01-10 2021-01-18 1600 BELTLINE ROAD, DECATUR, AL, 35601, US 2112 6TH AVE SE, DECATUR, AL, 356016510, US

Contacts

Phone +1 256-351-8500
Fax 2563510031

Authorized person

Name BRIAN MANN
Role OWNER
Phone 2563518500

Taxonomy

Taxonomy Code 111N00000X - Chiropractor
License Number 2438
State AL
Is Primary Yes

Agent

Name Role Address
MANN, BRIAN Agent 623 BLACK ROADHARTSELLE, AL 35640

Organizer

Name Role Address
MANN, BRIAN Organizer 623 BLACK ROADHARTSELLE, AL 35640

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State