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Brett B. Farr, LLC

Details

Name: Brett B. Farr, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 17 May 2018 (7 years ago) (Companies founded in May 2018)
Entity Number: 000-519-338
Register Number: 000519338
ZIP code: 36264 (Companies in Cleburne, 36264)
County: Cleburne
Place of Formation: Cleburne County
Registered Office Street Address: 65 CRESTVIEW STREETHEFLIN, AL 36264

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1689141475 2018-10-30 2018-10-30 PO BOX 7955, OXFORD, AL, 362037900, US 700 QUINTARD AVE STE A, ANNISTON, AL, 362015758, US

Contacts

Phone +1 256-231-0417

Authorized person

Name DR. BRETT B FARR
Role PRESIDENT
Phone 2562310417

Taxonomy

Taxonomy Code 111N00000X - Chiropractor
Is Primary Yes

Other Provider Identifiers

Issuer BLUE CROSS BLUE SHIELD
Number 51209637
State AL

Agent

Name Role
FARR, BRETT B Agent

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State