| Name: | Lake Martin Chiropractic Health Center, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 04 Aug 2017 (7 years ago) |
| Entity Number: | 000-398-148 |
| Register Number: | 000398148 |
| County: | Elmore |
| Place of Formation: | Elmore County |
| Registered Office Street Address: | 1005 CEDAR STREETTALLASSEE, AL 36078 |
| Registered Office Street Address ZIP Code: | 36078 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1013433861 | 2017-08-14 | 2017-12-11 | 8341 KOWALIGA RD, ECLECTIC, AL, 360243749, US | 8341 KOWALIGA RD, ECLECTIC, AL, 360243749, US | |||||||||||||||||
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| Phone | +1 334-458-2633 |
Authorized person
| Name | DR. RYAN M PEADEN |
| Role | CHIROPRACTOR/ DC/ OWNER |
| Phone | 3344582633 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | 2516 |
| State | AL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PEADEN, RYAN | Agent | 1005 CEDAR STREETTALLASSEE, AL 36078 |
| Name | Role | Address |
|---|---|---|
| PEADEN, RYAN | Organizer | 1005 CEDAR STREETTALLASSEE, AL 36078 |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
