| Name: | Associated Family Chiropractic, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 28 Mar 1990 (35 years ago) |
| Entity Number: | 000-136-101 |
| Register Number: | 000136101 |
| ZIP code: | 35601 |
| County: | Morgan |
| Place of Formation: | Morgan County |
| Principal Address: | DECATUR, AL |
| Registered Office Street Address: | 2713-S SPRING PLACE S WDECATUR, AL 35601 |
| Authorized Capital: | $1,000 |
| Paid Share Capital: | $1,000 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1831244276 | 2007-01-24 | 2020-08-22 | 1000 BELTLINE RD SW, SUITE V-1, DECATUR, AL, 356016262, US | 1000 BELTLINE RD SW, SUITE V-1, DECATUR, AL, 356016262, US | |||||||||||||||||||||||||
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| Phone | +1 256-350-1166 |
| Fax | 2563505744 |
Authorized person
| Name | DR. PHILLIP G MAXWELL |
| Role | OWNER |
| Phone | 2563501166 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | 1215 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BC BS |
| Number | 72542 |
| State | AL |
| Name | Role |
|---|---|
| MAXWELL, PHILLIP G DR | Incorporator |
| MAXWELL, ROBERT G | Incorporator |
| Name | Role |
|---|---|
| MAXWELL, PHILLIP G DR | Agent |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
