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LEVICK CHIROPRACTIC P.C.

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Company Details

Name: LEVICK CHIROPRACTIC P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 21 Aug 2002 (23 years ago)
Entity Number: 2803171
ZIP code: 14304
County: Niagara
Place of Formation: New York
Address: 10158 NIAGARA FALLS BLVD., NIAGARA FALLS, NY, United States, 14304
Principal Address: 2749 CALEDONIA ST, NEWFANE, NY, United States, 14108

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
JACQUELYN RUSSELL, DC Chief Executive Officer 2749 CALEDONIC ST, NEWFANE, NY, United States, 14108

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 10158 NIAGARA FALLS BLVD., NIAGARA FALLS, NY, United States, 14304

National Provider Identifier

NPI Number:
1457551152

Authorized Person:

Name:
DR. JACQUELYN MICHELE RUSSELL
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
111N00000X - Chiropractor
Is Primary:
Yes

Contacts:

Fax:
7162980369

Filings

Filing Number Date Filed Type Effective Date
060810002173 2006-08-10 BIENNIAL STATEMENT 2006-08-01
040910002876 2004-09-10 BIENNIAL STATEMENT 2004-08-01
020821000273 2002-08-21 CERTIFICATE OF INCORPORATION 2002-08-21

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Date of last update: 30 Mar 2025

Sources: New York Secretary of State