| Name: | Ingrid M. Kruse DC, PA, PC |
| Jurisdiction: | Alabama |
| Legal type: | Foreign Professional Corporation |
| Status: | Exists |
| Date of registration: | 20 Feb 2006 (19 years ago) |
| Entity Number: | 000-937-136 |
| Register Number: | 000937136 |
| County: | Talladega |
| Place of Formation: | Florida |
| Principal Address: | 47795 US HWY 78LINCOLN, AL 35096 |
| Principal Address ZIP Code: | 35096 |
| Registered Office Street Address: | 1021 MARTIN ST SPELL CITY, AL 35128 |
| Registered Office Street Address ZIP Code: | 35128 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1104937531 | 2006-08-31 | 2009-12-28 | 1021 MARTIN ST S, PELL CITY, AL, 351282360, US | 1021 MARTIN ST S, PELL CITY, AL, 351282360, US | |||||||||||||||||||||
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| Phone | +1 205-405-6099 |
| Fax | 2053384553 |
| Phone | +1 205-338-4545 |
Authorized person
| Name | INGRID M KRUSE |
| Role | OWNER |
| Phone | 2054056099 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | 2037 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| KRUSE, INGRID | Agent |
Date of last update: 17 Aug 2024
Sources: Alabama Secretary of State
