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HALAJCSIK CHIROPRACTIC CLINIC PA

Company Details

Entity Name: HALAJCSIK CHIROPRACTIC CLINIC PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 15 Jan 2008 (17 years ago)
Document Number: P08000005376
FEI/EIN Number 261750910
Address: 4350 Fowler St., FORT MYERS, FL, 33901, US
Mail Address: 4350 Fowler Street, FORT MYERS, FL, 33901, US
ZIP code: 33901
County: Lee
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1528231883 2008-04-08 2016-08-30 4350 FOWLER ST STE 1B, SUITE 101, FORT MYERS, FL, 339012616, US 4350 FOWLER ST STE 1B, SUITE 101, FORT MYERS, FL, 339012616, US

Contacts

Phone +1 239-561-3838

Authorized person

Name DR. DANIEL SCOTT HALAJCSIK
Role CHIROPRACTOR
Phone 2395613838

Taxonomy

Taxonomy Code 111N00000X - Chiropractor
License Number CH9473
State FL
Is Primary Yes

Agent

Name Role Address
HALAJCSIK DANIEL S Agent 4350 Fowler Street, FORT MYERS, FL, 33901

Chief Executive Officer

Name Role Address
HALAJCSIK DANIEL S Chief Executive Officer 4350 Fowler Street, FORT MYERS, FL, 33901

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000074497 EDISON SQUARE CHIROPRACTIC ACTIVE 2024-06-17 2029-12-31 No data 4350 FOWLER ST, STE 1B, FORT MYERS, FL, 33901
G13000048880 EDISON SQUARE CHIROPRACTIC PA EXPIRED 2013-05-23 2018-12-31 No data 4350 FOWLER ST, STE. 1B, FORT MYERS, FL, 33901

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2014-04-02 4350 Fowler St., SUITE 1B, FORT MYERS, FL 33901 No data
CHANGE OF MAILING ADDRESS 2014-04-02 4350 Fowler St., SUITE 1B, FORT MYERS, FL 33901 No data
REGISTERED AGENT ADDRESS CHANGED 2014-04-02 4350 Fowler Street, SUITE 1B, FORT MYERS, FL 33901 No data

Documents

Name Date
ANNUAL REPORT 2024-03-25
ANNUAL REPORT 2023-04-14
ANNUAL REPORT 2022-04-11
ANNUAL REPORT 2021-05-03
ANNUAL REPORT 2020-04-21
ANNUAL REPORT 2019-04-02
ANNUAL REPORT 2018-06-08
ANNUAL REPORT 2017-04-28
ANNUAL REPORT 2016-02-12
ANNUAL REPORT 2015-04-24

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
5725098202 2020-08-08 0455 PPP 4350 Fowler Street Suite 1B, Fort Myers, FL, 33901-2600
Loan Status Date 2022-04-19
Loan Status Charged Off
Loan Maturity in Months 29
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 10731
Loan Approval Amount (current) 10731
Undisbursed Amount 0
Franchise Name -
Lender Location ID 456756
Servicing Lender Name Cross River Bank
Servicing Lender Address 885 Teaneck Rd, TEANECK, NJ, 07666-4546
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Unanswered
Project Address Fort Myers, LEE, FL, 33901-2600
Project Congressional District FL-19
Number of Employees 7
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 456756
Originating Lender Name Cross River Bank
Originating Lender Address TEANECK, NJ
Gender Unanswered
Veteran Unanswered
Forgiveness Amount -
Forgiveness Paid Date -

Date of last update: 02 Feb 2025

Sources: Florida Department of State