| Name: | Crimson Chiropractic Center, L.L.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 30 Aug 2001 (23 years ago) |
| Entity Number: | 000-677-501 |
| Register Number: | 000677501 |
| County: | Tuscaloosa |
| Place of Formation: | Tuscaloosa County |
| Principal Address: | NORTHPORT, AL |
| Registered Office Street Address: | 3120 MCFARLAND BLVD STE 10NORTHPORT, AL 35476 |
| Registered Office Street Address ZIP Code: | 35476 |
Activities
PRACTICE CHIROPRACTIC MEDICINE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1548337652 | 2006-11-30 | 2024-07-24 | 2300 MCFARLAND BLVD E, SUITE 0A, TUSCALOOSA, AL, 354045853, US | 2302 MCFARLAND BLVD E, TUSCALOOSA, AL, 354045802, US | |||||||||||||||||||
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| Phone | +1 205-345-2009 |
Authorized person
| Name | DR. DANIEL CRAIG FOWLER |
| Role | PRESIDENT |
| Phone | 2053452009 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS AL |
| Number | 510-73659 |
| State | AL |
| Name | Role |
|---|---|
| KENNEDY, SCOTT A | Agent |
| Name | Role |
|---|---|
| KENNEDY, SCOTT A | Member |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
