| Name: | Eagle Lake Chiropractic, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 16 Apr 2003 (22 years ago) (Companies founded in April 2003) |
| Date of dissolution: | 26 Jun 2019 |
| Entity Number: | 000-689-579 |
| Register Number: | 000689579 |
| ZIP code: | 35976 (Companies in Marshall, 35976) |
| County: | Marshall |
| Place of Formation: | Marshall County |
| Principal Address: | GUNTERSVILLE, AL |
| Registered Office Street Address: | 12844 US HWY 431 STE BGUNTERSVILLE, AL 35976 |
Activities
CHIROPRACTIC PRACTICE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1952583015 | 2007-11-30 | 2007-11-30 | 12844 US HIGHWAY 431 STE B, GUNTERSVILLE, AL, 359769312, US | 12844 US HIGHWAY 431 STE B, GUNTERSVILLE, AL, 359769312, US | |||||||||||||||||
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| Phone | +1 256-582-4330 |
Authorized person
| Name | DR. CARRIE SOUTHERLAND |
| Role | CHIROPRACTIC PHYSICIAN |
| Phone | 2565824330 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | 2029 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| SOUTHERLAND, CARRIE GAIL | Agent |
| Name | Role |
|---|---|
| SOUTHERLAND, CARRIE GAIL | Member |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
