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Blue Ridge Chiropractic, L.L.C.

Details

Name: Blue Ridge Chiropractic, L.L.C.
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 08 May 2008 (17 years ago)
Entity Number: 000-420-898
Register Number: 000420898
County: Elmore
Place of Formation: Elmore County
Principal Address: WETUMPKA, AL
Registered Office Street Address: 2412 US HWY 231WETUMPKA, AL 36092
Registered Office Street Address ZIP Code: 36092

Activities ANY LAWFUL ACTIVITY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1134396898 2008-05-13 2008-05-13 1504 PRAIRIE LN, MONTGOMERY, AL, 361173477, US 2412 US HWY 231, WETUMPKA, AL, 36092, US

Contacts

Phone +1 334-318-1427
Phone +1 334-514-7327
Fax 3345147328

Authorized person

Name DR. BOBBY JOSEPH LUSTER
Role PRESIDENT
Phone 3345147327

Taxonomy

Taxonomy Code 111N00000X - Chiropractor
License Number 2153
State AL
Is Primary Yes

Agent

Name Role
LUSTER, BOBBY J Agent

Member

Name Role
LUSTER, BOBBY J Member

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State