| Name: | Hamilton Chiropractic, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 05 Mar 2008 (17 years ago) (Companies founded in March 2008) |
| Entity Number: | 000-416-908 |
| Register Number: | 000416908 |
| Place of Formation: | Marion County |
| Principal Address: | HAMILTON, AL |
| Registered Office Street Address: | PO BOX 249HAMILTON, AL 35570-0249 |
Activities
CHIROPRACTIC SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1841345287 | 2007-01-24 | 2013-06-12 | PO BOX 249, HAMILTON, AL, 355700249, US | 432 AGGIE AVE, HAMILTON, AL, 355705676, US | |||||||||||||||||||||||||
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| Phone | +1 205-921-5700 |
| Fax | 2059215701 |
Authorized person
| Name | DR. BRYAN D SERENA |
| Role | CHIROPRACTOR |
| Phone | 2059215700 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | 2010 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICARE PTAN |
| Number | 102G357304 |
| State | AL |
| Name | Role |
|---|---|
| SERENA, BRYAN | Agent |
| Name | Role |
|---|---|
| SERENA, BRYAN | Member |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
