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Lake Martin Chiropractic Health Center, LLC

Details

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) (Companies founded in August 2017)
Entity Number: 000-398-148
Register Number: 000398148
ZIP code: 36078 (Companies in Elmore, 36078)
County: Elmore
Place of Formation: Elmore County
Registered Office Street Address: 1005 CEDAR STREETTALLASSEE, AL 36078

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
PEADEN, RYAN Agent 1005 CEDAR STREETTALLASSEE, AL 36078

Organizer

Name Role Address
PEADEN, RYAN Organizer 1005 CEDAR STREETTALLASSEE, AL 36078

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State