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FORGE CHIROPRACTIC LLC

Details

Name: FORGE CHIROPRACTIC LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 03 Dec 2018 (6 years ago)
Entity Number: 000-536-269
Register Number: 000536269
County: Jefferson
Place of Formation: Jefferson County
Registered Office Street Address: 100 WIMBERLY DRTRUSSVILLE, AL 35173
Registered Office Street Address ZIP Code: 35173

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1144883000 2019-04-17 2019-04-17 5424 1ST AVE N, BIRMINGHAM, AL, 352122404, US 5424 1ST AVE N, BIRMINGHAM, AL, 352122404, US

Contacts

Phone +1 205-407-5245

Authorized person

Name MRS. PAULA S SHANNON
Role INS. SPECIALIST
Phone 7709824886

Taxonomy

Taxonomy Code 111N00000X - Chiropractor
Is Primary Yes

Agent

Name Role
BUNN, TYLER Agent

Organizer

Name Role Address
SIHA, MARSHA Organizer 17350 STATE HWY 249, SUITE 220HOUSTON, TX 77064

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State