| Name: | HealthSource Athens, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 29 Jan 2021 (4 years ago) (Companies founded in January 2021) |
| Entity Number: | 000-832-520 |
| Register Number: | 000832520 |
| ZIP code: | 35613 (Companies in Limestone, 35613) |
| County: | Limestone |
| Place of Formation: | Limestone County |
| Registered Office Street Address: | 1207 EAST FORREST STREET STE AATHENS, AL 35613 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1134714256 | 2021-03-02 | 2021-03-02 | 1207 E FORREST ST STE A, ATHENS, AL, 356132058, US | 1207 E FORREST ST STE A, ATHENS, AL, 356132058, US | |||||||||||||||
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| Phone | +1 256-233-7776 |
| Fax | 2562516229 |
Authorized person
| Name | DEVIN EERNISSE |
| Role | CHIROPRACTOR |
| Phone | 7634422960 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| EERNISSE, DEVIN | Agent | 1207 EAST FORREST STREET STE AATHENS, AL 35613 |
| Name | Role | Address |
|---|---|---|
| EERNISSE, DEVIN | Organizer | 1207 EAST FORREST STREET STE AATHENS, AL 35613 |
Date of last update: 16 Aug 2024
Sources: Alabama Secretary of State
