| Name: | Daphne Chiropractic Center L.L.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 11 Oct 2001 (23 years ago) |
| Entity Number: | 000-678-134 |
| Register Number: | 000678134 |
| County: | Baldwin |
| Place of Formation: | Baldwin County |
| Principal Address: | LOXLEY, AL |
| Registered Office Street Address: | 25448 SUNSET COURT NORTHLOXLEY, AL 36551 |
| Registered Office Street Address ZIP Code: | 36551 |
Activities
ANY LAWFUL ACTIVITY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1760546980 | 2006-12-21 | 2010-09-29 | 9113 MERRITT LN, DAPHNE, AL, 365265609, US | 9113 MERRITT LN, DAPHNE, AL, 365265609, US | |||||||||||||||||||||||
|
|||||||||||||||||||||||||||
| Phone | +1 251-626-1234 |
Authorized person
| Name | DR. MELVIN ARDEN MASHNER |
| Role | OWNER |
| Phone | 2516261234 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | 1445 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS PROVIDER # |
| Number | 51507924 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| MASHNER, MELVIN A | Member | 9113 MERRITT LANEDAPHNE, AL 36526 |
| Name | Role | Address |
|---|---|---|
| MASHNER, MELVIN A | Agent | 9113 MERRITT LANEDAPHNE, AL 36526 |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
