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Vitality Chiropractic LLC

Details

Name: Vitality Chiropractic LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 15 Oct 2021 (3 years ago) (Companies founded in October 2021)
Entity Number: 000-948-203
Register Number: 000948203
ZIP code: 36305 (Companies in Houston, 36305)
County: Houston
Place of Formation: Alabama
Registered Office Street Address: 3850 W Main St, Ste 804Dothan, AL 36305
Registered Office Mailing Address: 4980 Flowers Chapel Rd Apt T140Dothan, AL 36305

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1588322002 2021-12-01 2021-12-01 3850 W MAIN ST STE 804, DOTHAN, AL, 363051071, US 3850 W MAIN ST STE 804, DOTHAN, AL, 363051071, US

Contacts

Phone +1 334-699-6010
Fax 3346996012

Authorized person

Name KYLE LEIF ERIKSEN
Role OWNER
Phone 3346996010

Taxonomy

Taxonomy Code 111N00000X - Chiropractor
Is Primary Yes

Agent

Name Role
Eriksen, Kyle L Agent

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State