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Alex City Chiropractic, LLC

Details

Name: Alex City Chiropractic, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 20 Aug 2004 (20 years ago)
Entity Number: 000-454-467
Register Number: 000454467
County: Tallapoosa
Place of Formation: Tallapoosa County
Principal Address: ALEXANDER CITY, AL
Registered Office Street Address: 104 CODY RDALEXANDER CITY, AL 35010
Registered Office Street Address ZIP Code: 35010

Activities CHIROPRACTIC SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1861671075 2007-10-24 2007-10-24 239 CHURCH ST STE A, ALEXANDER CITY, AL, 350102517, US 239 CHURCH ST STE A, ALEXANDER CITY, AL, 350102517, US

Contacts

Phone +1 256-234-4404
Fax 2562344421

Authorized person

Name DR. JON DOUGLAS ROBERTS
Role OWNER
Phone 2562344404

Taxonomy

Taxonomy Code 111N00000X - Chiropractor
License Number 1942
State AL
Is Primary Yes

Agent

Name Role
CAMIDGE, THELMA Agent

Member

Name Role
ROBERTS, JON DOUGLAS Member

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State