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Fountain City Chiropractic LLC

Details

Name: Fountain City Chiropractic LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Dissolved
Date of registration: 23 Jun 2020 (4 years ago)
Date of dissolution: 22 Nov 2021
Entity Number: 000-636-212
Register Number: 000636212
County: Autauga
Place of Formation: Autauga County
Registered Office Mailing Address: 1707 TWELVE OAKS LANEPRATTVILLE, AL 36066
Registered Office Mailing Address ZIP Code: 36066
Registered Office Street Address: 696 SILVER HILLS DRIVE N SUITE 116PRATTVILLE, AL 36066
Registered Office Street Address ZIP Code: 36066

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1922626555 2020-07-09 2020-07-09 696 SILVER HILLS DR STE 116, PRATTVILLE, AL, 360666184, US 696 SILVER HILLS DR STE 116, PRATTVILLE, AL, 360666184, US

Contacts

Phone +1 334-568-2026
Fax 3345682028

Authorized person

Name MICHAEL WILLIAM PERRIGIN
Role CHIROPRACTOR/OWNER
Phone 3345682026

Taxonomy

Taxonomy Code 111N00000X - Chiropractor
Is Primary Yes

Agent

Name Role
PERRIGIN, MICHAEL W Agent

Date of last update: 15 Aug 2024

Sources: Alabama Secretary of State