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SUPERSPINE CHIROPRACTIC LLC

Details

Name: SUPERSPINE CHIROPRACTIC LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 08 Aug 2023 (a year ago) (Companies founded in August 2023)
Entity Number: 001-093-295
Register Number: 001093295
ZIP code: 35209 (Companies in Jefferson, 35209)
County: Jefferson
Place of Formation: Alabama
Registered Office Street Address: 2100 SOUTHBRIDGE PKWY STE 650BIRMINGHAM, AL 35209
Registered Office Mailing Address: 1753 JEFFERSON AVE SWBIRMINGHAM, AL 35211

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1114795291 2023-12-18 2024-01-08 2738 CENTRAL AVE, HOMEWOOD, AL, 352091838, US 2738 CENTRAL AVE, HOMEWOOD, AL, 352091838, US

Contacts

Phone +1 205-879-2273
Fax 2054433409

Authorized person

Name JENNIFER POWERS
Role OFFICE ADMINISTRATOR
Phone 2105914165

Taxonomy

Taxonomy Code 111N00000X - Chiropractor
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SUPERSPINE CHIROPRACTIC, LLC 2023 932790045 2024-09-01 SUPERSPINE CHIROPRACTIC, LLC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2023-12-01
Business code 621111
Sponsor’s telephone number 2059141658
Plan sponsor’s address 2738 CENTRAL AVE, HOMEWOOD, AL, 35209

Signature of

Role Plan administrator
Date 2024-09-01
Name of individual signing NICK RICE

Agent

Name Role
Road2 Financial Freedom Inc. Agent

Date of last update: 18 Aug 2024

Sources: Alabama Secretary of State