| Name: | Bayside Chiropractic , LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 22 Feb 2008 (17 years ago) |
| Entity Number: | 000-416-613 |
| Register Number: | 000416613 |
| County: | Baldwin |
| Place of Formation: | Baldwin County |
| Principal Address: | DAPHNE, AL |
| Registered Office Street Address: | 30941 MILL LANE UNIT BDAPHNE, AL 36526 |
| Registered Office Street Address ZIP Code: | 36526 |
Activities
GENERAL CHIROPRACTIC TREATMENT CENTER/CARE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1144490129 | 2008-03-06 | 2008-03-06 | 30941 MILL LANE, UNIT B, DAPHNE, AL, 36526, US | 30941 MILL LANE, UNIT B, DAPHNE, AL, 36526, US | |||||||||||||||||
|
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| Phone | +1 251-626-8242 |
Authorized person
| Name | DR. LESLIE MICHELLE BRYAN |
| Role | CHIROPRACTOR |
| Phone | 2516268242 |
Taxonomy
| Taxonomy Code | 305R00000X - Preferred Provider Organization |
| License Number | 2388 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| BRYAN, LESLIE MICHELLE | Agent |
| Name | Role |
|---|---|
| BRYAN, LESLIE MICHELLE | Member |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
