Name: | Coastal Chiropractic & Acupuncture, LLC |
Jurisdiction: | Alabama |
Legal type: | Domestic Limited Liability Company |
Status: | Exists |
Date of registration: | 15 Aug 2016 (8 years ago) |
Entity Number: | 000-369-698 |
Register Number: | 000369698 |
County: | Baldwin |
Place of Formation: | Baldwin County |
Registered Office Street Address: | 2201 WEST 1ST STREET 2ND FLOORGULF SHORES, AL 36542 |
Registered Office Street Address ZIP Code: | 36542 |
Registered Office Mailing Address: | PO BOX 4850GULF SHORES, AL 36547 |
Registered Office Mailing Address ZIP Code: | 36547 |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1972045995 | 2016-11-08 | 2016-11-08 | 2130 BOURBON ST, FOLEY, AL, 365352463, US | 2130 BOURBON ST, FOLEY, AL, 365352463, US | |||||||||||||||||
|
Phone | +1 740-808-2779 |
Authorized person
Name | DR. TODD BRIAN WALTERS |
Role | OWNER/PRESIDENT |
Phone | 7408082779 |
Taxonomy
Taxonomy Code | 111N00000X - Chiropractor |
License Number | 2478 |
State | AL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
OLMSTEAD, CRAIG D | Agent | 234 OFFICE PARK DRIVEGULF SHORES, AL 36542 |
Name | Role | Address |
---|---|---|
OLMSTEAD, CRAIG D | Organizer | 234 OFFICE PARK DRIVEGULF SHORES, AL 36542 |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State