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Spark Wellness LLC

Details

Name: Spark Wellness LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 06 Apr 2022 (3 years ago)
Entity Number: 001-012-910
Register Number: 001012910
County: Houston
Place of Formation: Alabama
Registered Office Street Address: 212 W. Troy St., STE BDothan, AL 36303
Registered Office Street Address ZIP Code: 36303

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1265166466 2022-07-13 2023-09-30 7540 CIPRIANO CT STE A, FAIRHOPE, AL, 365323029, US 7540 CIPRIANO CT STE A, FAIRHOPE, AL, 365323029, US

Contacts

Phone +1 251-517-7318

Authorized person

Name DR. JACOB DODDS
Role OWNER
Phone 7035870794

Taxonomy

Taxonomy Code 111N00000X - Chiropractor
Is Primary Yes

Agent

Name Role Address
Registered Agents Inc Agent 212 W. Troy St. STE BDothan, AL 36303

Organizer

Name Role Address
Dodds, Lauren B Organizer 255 Hemlock DriveFairhope, AL 36532

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State