| Name: | Mix-Riddle Chiropractic LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Limited Liability Company |
| Status: | Exists |
| Date of registration: | 30 Dec 2020 (4 years ago) |
| Entity Number: | 000-829-967 |
| Register Number: | 000829967 |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Registered Office Street Address: | 6381 S CHALKVILLE RDTRUSSVILLE, AL 35173 |
| Registered Office Street Address ZIP Code: | 35173 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1023753704 | 2022-04-28 | 2022-04-28 | 6381 S CHALKVILLE RD, TRUSSVILLE, AL, 351736304, US | 6381 S CHALKVILLE RD, TRUSSVILLE, AL, 351736304, US | |||||||||||||||
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| Phone | +1 205-661-6600 |
| Fax | 2056616601 |
Authorized person
| Name | DR. PETER GILMER RIDDLE |
| Role | OWNER |
| Phone | 2059075259 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| Is Primary | Yes |
| Name | Role |
|---|---|
| MIX, CRAIG A | Agent |
Date of last update: 16 Aug 2024
Sources: Alabama Secretary of State
