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Coastal Chiropractic & Acupuncture, LLC

Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
OLMSTEAD, CRAIG D Agent 234 OFFICE PARK DRIVEGULF SHORES, AL 36542

Organizer

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