| Name: | Collins Chiropractic Center, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 29 Oct 1991 (33 years ago) |
| Entity Number: | 000-146-073 |
| Register Number: | 000146073 |
| ZIP code: | 35228 |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Principal Address: | MIDFIELD, AL |
| Registered Office Street Address: | 552 BESSEMER SUPER HWYMIDFIELD, AL 35228 |
| Authorized Capital: | $3,000 |
Activities
CHRIOPRACTIC CARE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1477742153 | 2007-10-18 | 2007-10-18 | 552 BESSEMER RD, MIDFIELD, AL, 352283002, US | 552 BESSEMER RD, MIDFIELD, AL, 352283002, US | |||||||||||||||||||||||||
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| Phone | +1 205-923-0151 |
| Fax | 2059233013 |
Authorized person
| Name | DR. GERALD J COLLINS |
| Role | PRESIDENT |
| Phone | 2059230151 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | 1208 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BC/BS AL |
| Number | 71234 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| COLLINS, GERALD J | Agent | 552 BESSEMER SUPER HWYMIDFIELD, AL 35228 |
| Name | Role | Address |
|---|---|---|
| COLLINS, GERALD J | Incorporator | 552 BESSEMER SUPER HWYMIDFIELD, AL 35228 |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
