| Name: | Attalla Family Chiropractic, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 24 Jul 2002 (22 years ago) (Companies founded in July 2002) |
| Entity Number: | 000-683-624 |
| Register Number: | 000683624 |
| ZIP code: | 35954 (Companies in Etowah, 35954) |
| County: | Etowah |
| Place of Formation: | Etowah County |
| Principal Address: | ATTALLA, AL |
| Registered Office Street Address: | 209 GILBERTS FERRY RD SEATTALLA, AL 35954 |
Activities
CHIROPRACTICE HEALTHCARE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1467646638 | 2007-08-30 | 2012-08-13 | 209 GILBERT FERRY RD SE, ATTALLA, AL, 359543329, US | 209 GILBERT FERRY RD SE, ATTALLA, AL, 359543329, US | |||||||||||||||||||||||||
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| Phone | +1 256-538-5955 |
| Fax | 2565385995 |
Authorized person
| Name | DR. MACKENZIE HARRIS MCKINNEY |
| Role | OWNER |
| Phone | 2565385955 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | 2026 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 529917250 |
| State | AL |
| Name | Role |
|---|---|
| MCKINNEY, MACKENZIE HARRIS | Agent |
| Name | Role |
|---|---|
| MCKINNEY, MACKENZIE HARRIS | Member |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
