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CHIROPRACTIC HEALTH, INC.

Company Details

Entity Name: CHIROPRACTIC HEALTH, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 13 Dec 1991 (33 years ago)
Document Number: V00267
FEI/EIN Number 650301116
Address: 1025 N. CONGRESS AVE 'A', WEST PALM BEACH, FL, 33409
Mail Address: 1025 N. CONGRESS AVE 'A', WEST PALM BEACH, FL, 33409
ZIP code: 33409
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1043265705 2006-05-23 2008-06-23 1025 N CONGRESS AVE, WEST PALM BEACH, FL, 334095304, US 1025 N CONGRESS AVE, WEST PALM BEACH, FL, 334095304, US

Contacts

Phone +1 561-689-2900
Fax 5616891964

Authorized person

Name BRIAN A CAMPBELL
Role PRESIDENT
Phone 5616892900

Taxonomy

Taxonomy Code 111N00000X - Chiropractor
License Number CH6314
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CHIROPRACTIC HEALTH, INC. 401(K) PROFIT SHARING PLAN 2016 650301116 2017-12-14 CHIROPRACTIC HEALTH, INC. 8
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1999-01-01
Business code 621310
Sponsor’s telephone number 5616891964
Plan sponsor’s address 1025 N CONGRESS AVE, WEST PALM BEACH, FL, 33409
CHIROPRACTIC HEALTH, INC. 401(K) PROFIT SHARING PLAN 2016 650301116 2017-04-10 CHIROPRACTIC HEALTH, INC. 9
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1999-01-01
Business code 621310
Sponsor’s telephone number 5616892900
Plan sponsor’s address 1025 N CONGRESS AVE, WEST PALM BEACH, FL, 33409
CHIROPRACTIC HEALTH, INC. 401(K) PROFIT SHARING PLAN 2015 650301116 2016-05-18 CHIROPRACTIC HEALTH, INC. 8
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1999-01-01
Business code 621310
Sponsor’s telephone number 5616892900
Plan sponsor’s address 1025 N CONGRESS AVE, WEST PALM BEACH, FL, 33409
CHIROPRACTIC HEALTH, INC. 401(K) PROFIT SHARING PLAN 2014 650301116 2015-03-04 CHIROPRACTIC HEALTH, INC. 9
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1999-01-01
Business code 621310
Sponsor’s telephone number 5616892900
Plan sponsor’s address 1025 N CONGRESS AVE, WEST PALM BEACH, FL, 33409
CHIROPRACTIC HEALTH, INC. 401(K) PROFIT SHARING PLAN 2013 650301116 2014-03-06 CHIROPRACTIC HEALTH, INC. 9
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1999-01-01
Business code 621310
Sponsor’s telephone number 5616892900
Plan sponsor’s address 1025 N CONGRESS AVE, WEST PALM BEACH, FL, 33409
CHIROPRACTIC HEALTH, INC. 401(K) PROFIT SHARING PLAN 2012 650301116 2013-03-06 CHIROPRACTIC HEALTH, INC. 7
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1999-01-01
Business code 621310
Sponsor’s telephone number 5616892900
Plan sponsor’s address 1025 N CONGRESS AVE, WEST PALM BEACH, FL, 33409

Signature of

Role Plan administrator
Date 2013-03-06
Name of individual signing BRIAN CAMPBELL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-03-06
Name of individual signing BRIAN CAMPBELL
Valid signature Filed with authorized/valid electronic signature
CHIROPRACTIC HEALTH, INC. 401(K) PROFIT SHARING PLAN 2011 650301116 2012-04-11 CHIROPRACTIC HEALTH, INC. 7
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1999-01-01
Business code 621310
Sponsor’s telephone number 5616892900
Plan sponsor’s address 1025 N CONGRESS AVE, WEST PALM BEACH, FL, 33409

Plan administrator’s name and address

Administrator’s EIN 650301116
Plan administrator’s name CHIROPRACTIC HEALTH, INC.
Plan administrator’s address 1025 N CONGRESS AVE, WEST PALM BEACH, FL, 33409
Administrator’s telephone number 5616892900

Signature of

Role Plan administrator
Date 2012-04-11
Name of individual signing BRIAN CAMPBELL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-04-11
Name of individual signing BRIAN CAMPBELL
Valid signature Filed with authorized/valid electronic signature
CHIROPRACTIC HEALTH, INC. 401(K) PROFIT SHARING PLAN 2010 650301116 2011-04-04 CHIROPRACTIC HEALTH, INC. 7
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1999-01-01
Business code 621310
Sponsor’s telephone number 5616891964
Plan sponsor’s address 1025 N CONGRESS AVE, WEST PALM BEACH, FL, 33409

Plan administrator’s name and address

Administrator’s EIN 650301116
Plan administrator’s name CHIROPRACTIC HEALTH, INC.
Plan administrator’s address 1025 N CONGRESS AVE, WEST PALM BEACH, FL, 33409
Administrator’s telephone number 5616891964

Signature of

Role Plan administrator
Date 2011-04-04
Name of individual signing BRIAN CAMPBELL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-04-04
Name of individual signing BRIAN CAMPBELL
Valid signature Filed with authorized/valid electronic signature
CHIROPRACTIC HEALTH, INC. 401(K) PROFIT SHARING PLAN 2009 650301116 2010-10-01 CHIROPRACTIC HEALTH, INC. 7
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1999-01-01
Business code 621310
Sponsor’s telephone number 5616891964
Plan sponsor’s address 1025 N CONGRESS AVE, WEST PALM BEACH, FL, 33409

Plan administrator’s name and address

Administrator’s EIN 650301116
Plan administrator’s name CHIROPRACTIC HEALTH, INC.
Plan administrator’s address 1025 N CONGRESS AVE, WEST PALM BEACH, FL, 33409
Administrator’s telephone number 5616891964

Signature of

Role Plan administrator
Date 2010-10-01
Name of individual signing BRIAN CAMPBELL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-10-01
Name of individual signing BRIAN CAMPBELL
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
CAMPBELL, BRIAN A Agent 1025 N. CONGRESS AVE. STE. 'A', WEST PALM BEACH, FL, 33409

Director

Name Role Address
Campbell Brian A Director 1025 N. CONGRESS AVE STE 'A', WEST PALM BEACH, FL, 33409

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G98128900062 CAMPBELL SPORTS REHAB AND SPINE CENTER ACTIVE 1998-05-08 2028-12-31 No data 1025 NORTH CONGRESS AVENUE, SUITE A, WEST PALM BEACH, FL, 33409

Date of last update: 02 Jan 2025

Sources: Florida Department of State