Name: | Rocket City Chiropractic, Inc. |
Jurisdiction: | Alabama |
Legal type: | Domestic Corporation |
Status: | Dissolved |
Date of registration: | 02 Aug 2005 (19 years ago) |
Date of dissolution: | 08 Dec 2010 |
Entity Number: | 000-242-862 |
Register Number: | 000242862 |
ZIP code: | 35816 |
County: | Madison |
Place of Formation: | Madison County |
Principal Address: | HUNTSVILLE, AL |
Registered Office Street Address: | 2417 JORDAN LANEHUNTSVILLE, AL 35816 |
Authorized Capital: | $100 |
Activities
HEALTHCARE SERVICE
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1568558575 | 2006-10-05 | 2008-03-25 | 2417 JORDAN LANE, HUNTSVILLE, AL, 358161009, US | 2417 JORDAN LANE, HUNTSVILLE, AL, 358161009, US | |||||||||||||||||||||||||||||||||
|
Phone | +1 256-721-9696 |
Fax | 2568371206 |
Authorized person
Name | DR. JAMES K OLSZEWSKI |
Role | CHIROPRACTOR |
Phone | 2567219696 |
Taxonomy
Taxonomy Code | 111N00000X - Chiropractor |
License Number | 1832 |
State | AL |
Is Primary | No |
Taxonomy Code | 111N00000X - Chiropractor |
License Number | 2225 |
State | AL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | BLUE CROSS BLUE SHIELDS |
Number | 51545643 |
State | AL |
Name | Role | Address |
---|---|---|
BROWN, JAMES M | Agent | 8910 OLDENBURG DRIVEFAIRHOPE, AL 36532 |
Name | Role | Address |
---|---|---|
BROWN, JAMES M | Incorporator | 8910 OLDENBURG DRIVEFAIRHOPE, AL 36532 |
Event Date | Event Type | Old Value | New Value |
---|---|---|---|
2005-09-06 | Name Merged | No data | James M. Brown, D.C., L.L.C. |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State