| Name: | Shoals Family Chiropractic, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 21 Mar 2018 (7 years ago) (Companies founded in March 2018) |
| Entity Number: | 000-513-533 |
| Register Number: | 000513533 |
| Historical Names: |
HealthSource of Muscle Shoals, LLC
|
| ZIP code: | 35661 (Companies in Colbert, 35661) |
| County: | Colbert |
| Place of Formation: | Lauderdale County |
| Registered Office Street Address: | 907 E. AVALON AVE.MUSCLE SHOALS, AL 35661 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1700364049 | 2018-07-30 | 2024-04-03 | 907 AVALON AVE STE B, MUSCLE SHOALS, AL, 356612307, US | 907 AVALON AVE, MUSCLE SHOALS, AL, 356612307, US | |||||||||||||||||||||||||||
|
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| Phone | +1 256-520-9369 |
| Fax | 2562516220 |
| Phone | +1 256-314-2213 |
Authorized person
| Name | KYLE RAY GVILLO |
| Role | OWNER |
| Phone | 2563142213 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | 2575 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | CHIROPRACTOR |
| Number | 1730666223 |
| State | AL |
| Name | Role |
|---|---|
| KYLE R. GVILLO | Agent |
| Name | Role |
|---|---|
| KYLE R. GVILLO | Member |
| Name | Role | Address |
|---|---|---|
| JUMPER, WILLAIM | Organizer | 133 ANA DRIVEFLORENCE, AL 35630 |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2023-12-27 | Name Change | HealthSource of Muscle Shoals, LLC | Shoals Family Chiropractic, LLC |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
