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Back & Neck Pain Clinic, LLC

Details

Name: Back & Neck Pain Clinic, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 09 Feb 2001 (24 years ago) (Companies founded in February 2001)
Entity Number: 000-674-057
Register Number: 000674057
ZIP code: 36303 (Companies in Houston, 36303)
County: Houston
Place of Formation: Houston County
Principal Address: DOTHAN, AL
Registered Office Street Address: 321 WESTGATE PARKWAY STE 1DOTHAN, AL 36303

Activities PROVIDE PROFESSIONAL CHIROPRACTIC SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1841476926 2008-01-18 2008-01-18 321 WESTGATE PKWY STE 1, DOTHAN, AL, 363033072, US 321 WESTGATE PKWY STE 1, DOTHAN, AL, 363033072, US

Contacts
Phone +1 850-702-0898

Authorized person
Name ELIZABETH DAVIS
Role ACCOUNTS MANAGER
Phone 8508663250

Taxonomy
Taxonomy Code 111N00000X - Chiropractor
Is Primary Yes

Other Provider Identifiers
Issuer MEDICARE GROUP NUMBER
Number I511
State AL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BACK & NECK PAIN CLINIC, LLC PROFIT SHARING PLAN 2023 631271186 2024-10-14 BACK & NECK PAIN CLINIC, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621310
Sponsor’s telephone number 3347020898
Plan sponsor’s address 321 WESTGATE PKWY, SUITE 1, DOTHAN, AL, 36303
BACK & NECK PAIN CLINIC, LLC PROFIT SHARING PLAN 2022 631271186 2023-10-05 BACK & NECK PAIN CLINIC, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621310
Sponsor’s telephone number 3347020898
Plan sponsor’s address 321 WESTGATE PKWY, SUITE 1, DOTHAN, AL, 36303
BACK & NECK PAIN CLINIC, LLC PROFIT SHARING PLAN 2021 631271186 2022-10-09 BACK & NECK PAIN CLINIC, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621310
Sponsor’s telephone number 3347020898
Plan sponsor’s address 321 WESTGATE PKWY, SUITE 1, DOTHAN, AL, 36303
BACK & NECK PAIN CLINIC, LLC PROFIT SHARING PLAN 2020 631271186 2021-10-13 BACK & NECK PAIN CLINIC, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621310
Sponsor’s telephone number 3347020898
Plan sponsor’s address 321 WESTGATE PKWY, SUITE 1, DOTHAN, AL, 36303
BACK & NECK PAIN CLINIC, LLC PROFIT SHARING PLAN 2019 631271186 2020-07-23 BACK & NECK PAIN CLINIC, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621310
Sponsor’s telephone number 3347020898
Plan sponsor’s address 321 WESTGATE PKWY, SUITE 1, DOTHAN, AL, 36303
BACK & NECK PAIN CLINIC, LLC PROFIT SHARING PLAN 2018 631271186 2019-07-30 BACK & NECK PAIN CLINIC, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621310
Sponsor’s telephone number 3347020898
Plan sponsor’s address 321 WESTGATE PKWY, SUITE 1, DOTHAN, AL, 36303
BACK & NECK PAIN CLINIC, LLC PROFIT SHARING PLAN 2017 631271186 2018-07-23 BACK & NECK PAIN CLINIC, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621310
Sponsor’s telephone number 3347020898
Plan sponsor’s address 321 WESTGATE PKWY, SUITE 1, DOTHAN, AL, 36303
BACK & NECK PAIN CLINIC, LLC PROFIT SHARING PLAN 2016 631271186 2018-07-23 BACK & NECK PAIN CLINIC, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621310
Sponsor’s telephone number 3347020898
Plan sponsor’s address 321 WESTGATE PKWY, SUITE 1, DOTHAN, AL, 36303
BACK & NECK PAIN CLINIC, LLC PROFIT SHARING PLAN 2016 631271186 2017-07-27 BACK & NECK PAIN CLINIC, LLC 7
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621310
Sponsor’s telephone number 3347020898
Plan sponsor’s address 321 WESTGATE PKWY, SUITE 1, DOTHAN, AL, 36303
BACK & NECK PAIN CLINIC, LLC PROFIT SHARING PLAN 2015 631271186 2016-09-24 BACK & NECK PAIN CLINIC, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621310
Sponsor’s telephone number 3347020898
Plan sponsor’s address 321 WESTGATE PKWY, SUITE 1, DOTHAN, AL, 36303

Agent

Name Role
WARREN, M KEVIN Agent

Member

Name Role
BACK & NECK REHAB CENTER PC Member
ALDERMAN CHIROPRACTIC PC Member

Related by officers

WARREN, M KEVIN

Back & Neck Rehab Center, P.C. MKW Investments, LLC

Related by address

DOTHAN, AL

A & M Electrical Construction Co., Inc. Acme Auction Company of Dothan, Inc. Acme Lease-A-Car, Inc. Acme Roofing and Sheet Metal Company, Inc. Adams Foods, Inc. Adams Trading Center Alabama Electric Company, Inc. of Dothan Art & Craft Hut, Inc. Southeastern Cabinet Co., Inc. Auto Electric Company of Alabama, Incorporated

321 WESTGATE PARKWAY STE 1DOTHAN, AL 36303

Garrett Hall Chiropractic, LLC

Date of last update: 15 Aug 2024

Sources: Alabama Secretary of State

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