| Name: | Brodie Spine and Rehabilitation Center, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 10 Mar 2009 (16 years ago) |
| Date of dissolution: | 14 Sep 2021 |
| Entity Number: | 000-431-426 |
| Register Number: | 000431426 |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Principal Address: | MIDFIELD, AL |
| Registered Office Street Address: | 308 B Y WILLIAMS SR DRMIDFIELD, AL 35228 |
| Registered Office Street Address ZIP Code: | 35228 |
Activities
CHIROPRACTIC SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1841788585 | 2018-04-27 | 2018-04-27 | 308 B Y WILLIAMS SR DR, MIDFIELD, AL, 352282223, US | 308 B Y WILLIAMS SR DR, MIDFIELD, AL, 352282223, US | |||||||||||||||||||
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| Phone | +1 205-923-3221 |
| Fax | 2059233220 |
Authorized person
| Name | DR. LOWELL WILLIAM BRAGG |
| Role | DOCTOR |
| Phone | 2059233221 |
Taxonomy
| Taxonomy Code | 111NR0400X - Rehabilitation Chiropractor |
| License Number | 2172 |
| State | AL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BRAGG, LOWELL | Agent | 975 9TH AVENUE SW SUITE 200BESSEMER, AL 35022 |
| Name | Role | Address |
|---|---|---|
| BRAGG, LOWELL | Member | 975 9TH AVENUE SW SUITE 200BESSEMER, AL 35022 |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
