| Name: | The Chiropractic Oasis of Hayden, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Limited Liability Company |
| Status: | Exists |
| Date of registration: | 28 Jun 2018 (6 years ago) |
| Entity Number: | 000-523-127 |
| Register Number: | 000523127 |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Registered Office Street Address: | 1080 MAIN STREETGARDENDALE, AL 35071 |
| Registered Office Street Address ZIP Code: | 35071 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1265911457 | 2018-08-09 | 2018-08-15 | PO BOX 243, HAYDEN, AL, 350790243, US | 4010 STATE HWY 160, HAYDEN, AL, 35079, US | |||||||||||||||||||||||
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| Phone | +1 205-543-6600 |
Authorized person
| Name | DR. JAMES FOX |
| Role | PRESIDENT/OWNER |
| Phone | 2056312433 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | 1213 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 115292 |
| State | AL |
| Name | Role |
|---|---|
| FOX, JAMES F | Agent |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
