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 |
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 | |||||||||||||
|
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 |
Name | Role |
---|---|
BUNN, TYLER | Agent |
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