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HealthSource Chiropractic of Spanish Fort, LLC

Details

Name: HealthSource Chiropractic of Spanish Fort, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Dissolved
Date of registration: 02 Sep 2016 (8 years ago) (Companies founded in September 2016)
Date of dissolution: 27 Jun 2019
Entity Number: 000-371-121
Register Number: 000371121
ZIP code: 36527 (Companies in Baldwin, 36527)
County: Baldwin
Place of Formation: Baldwin County
Registered Office Street Address: 10179 EASTERN SHORE DRIVE STE 102SPANISH FORT, AL 36527

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1063962124 2016-10-12 2019-07-23 10179 EASTERN SHORE DR, SUITE 102, SPANISH FORT, AL, 365273302, US 10179 EASTERN SHORE DR, SUITE 102, SPANISH FORT, AL, 365273302, US

Contacts

Phone +1 251-391-9341
Fax 2516254488

Authorized person

Name JIM RACHWITZ
Role PRESIDENT, OWNER
Phone 2516254777

Taxonomy

Taxonomy Code 111N00000X - Chiropractor
License Number 2427
State AL
Is Primary Yes

Agent

Name Role
RACHWITZ, JIM O Agent

Organizer

Name Role
RACHWITZ, JIM OAK Organizer

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State