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Healthsource Huntsville - The Rocket City LLC

Details

Name: Healthsource Huntsville - The Rocket City LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 21 Feb 2023 (2 years ago) (Companies founded in February 2023)
Entity Number: 001-064-529
Register Number: 001064529
ZIP code: 35805 (Companies in Madison, 35805)
County: Madison
Place of Formation: Alabama
Registered Office Street Address: 2915 Bob Wallace Ave Suite BHuntsville, AL 35805

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1477258275 2023-04-03 2023-04-03 2915 BOB WALLACE AVE SW STE B, HUNTSVILLE, AL, 358054107, US 2915 BOB WALLACE AVE SW STE B, HUNTSVILLE, AL, 358054107, US

Contacts

Phone +1 256-880-8833

Authorized person

Name DR. SEAN WALLIS
Role OWNER
Phone 2568808833

Taxonomy

Taxonomy Code 111NR0400X - Rehabilitation Chiropractor
Is Primary Yes

Agent

Name Role
Wallis, Sean Agent

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State