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Jamey P. Wagner, PC

Details

Name: Jamey P. Wagner, PC
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 27 May 1998 (27 years ago)
Entity Number: 000-195-655
Register Number: 000195655
ZIP code: 35749
County: Madison
Place of Formation: Limestone County
Principal Address: HARVEST, AL
Registered Office Street Address: 27298 JARRED BLVDHARVEST, AL 35749
Authorized Capital: $1,000
Paid Share Capital: $100

Activities DETECT & REMOVE SUBLUXATIONS FROM THE HUMAN BODY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1568705176 2013-04-02 2013-04-02 8103 HIGHWAY 72 W, SUITE C, MADISON, AL, 357589528, US 8103 HIGHWAY 72 W, SUITE C, MADISON, AL, 357589528, US

Contacts

Phone +1 256-864-8470
Fax 2568648470

Authorized person

Name DR. JAMEY PAUL WAGNER
Role PRESIDENT
Phone 2568648470

Taxonomy

Taxonomy Code 111N00000X - Chiropractor
License Number 1765
State AL
Is Primary Yes

Agent

Name Role
WAGNER, JAMEY P Agent

Incorporator

Name Role
WAGNER, JAMEY P Incorporator
WAGNER, PANDA Incorporator

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State