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Health Source Madison, P.C.

Details

Name: Health Source Madison, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 01 Dec 2021 (3 years ago) (Companies founded in December 2021)
Entity Number: 000-955-114
Register Number: 000955114
ZIP code: 35611 (Companies in Limestone, 35611)
County: Limestone
Place of Formation: Alabama
Principal Address: 1301 Hwy 31 SouthAthens, AL 35611
Authorized Capital: 1000
Paid Share Capital: 1.00

Activities Chiropractic Services

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1932841616 2022-04-12 2022-04-12 525 HUGHES RD STE G, MADISON, AL, 357581164, US 525 HUGHES RD STE G, MADISON, AL, 357581164, US

Contacts

Phone +1 256-874-2643

Authorized person

Name JACOB MATHIAS
Role PRESIDENT
Phone 2568742643

Taxonomy

Taxonomy Code 111N00000X - Chiropractor
Is Primary Yes

Agent

Name Role Address
Mathias, Jacob Agent 1301 Hwy 31 SouthAthens, AL 35611

Incorporator

Name Role Address
Mathias, Jacob Incorporator 1301 Hwy 31 SouthAthens, AL 35611

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State