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BOONEVILLE CHIROPRACTIC CLINIC, P.A.

BOONEVILLE CHIROPRACTIC CLINIC, P.A.

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Company Details

Name:	BOONEVILLE CHIROPRACTIC CLINIC, P.A.
Jurisdiction:	MISSISSIPPI
Business Type:	Profit Corporation
Status:	Good Standing
Effective Date:	31 Jan 1994 (31 years ago)
Business ID:	604231
ZIP code:	38829
County:	Prentiss
State of Incorporation:	MISSISSIPPI
Principal Office Address:	221A West College STBooneville, MS 38829

Incorporator

Name	Role	Address
Derrick R Blythe	Incorporator	200 N First St, Booneville, MS 38829

Director

Name	Role	Address
Derrick R Blythe	Director	207 Adair Drive, Booneville, MS 38829

President

Name	Role	Address
Derrick R Blythe	President	207 Adair Drive, Booneville, MS 38829

Secretary

Name	Role	Address
Jana N Blythe	Secretary	207 Adair Drive, Booneville, MS 38829

Treasurer

Name	Role	Address
Jana N Blythe	Treasurer	207 Adair Drive, Booneville, MS 38829

Agent

Name	Role	Address
DERRICK R BLYTHE	Agent	207 Adair Dr, Booneville, MS 38829

National Provider Identifier

NPI Number:

1154697910

Link:

View on NPI website

Authorized Person:

Name:

DR. DERRICK ROY BLYTHE

Role:

PRESIDENT

Phone:

6627287414

Taxonomy:

Selected Taxonomy:

261Q00000X - Clinic/Center

Is Primary:

Yes

Contacts:

Phone:

+1 662-728-7414

Fax:

6627284163

Filings

Type	Status	Filed Date	Description
Annual Report	Filed	2024-06-06	Annual Report For BOONEVILLE CHIROPRACTIC CLINIC, P.A.
Annual Report	Filed	2023-02-22	Annual Report For BOONEVILLE CHIROPRACTIC CLINIC, P.A.
Annual Report	Filed	2022-02-24	Annual Report For BOONEVILLE CHIROPRACTIC CLINIC, P.A.
Annual Report	Filed	2021-02-21	Annual Report For BOONEVILLE CHIROPRACTIC CLINIC, P.A.
Registered Agent Change of Address	Filed	2020-07-29	Agent Address Change For DERRICK R BLYTHE
Reinstatement	Filed	2020-07-10	Reinstatement For BOONEVILLE CHIROPRACTIC CLINIC, P.A.
Admin Dissolution	Filed	2018-12-10	Admin Dissolution: AR
Notice to Dissolve/Revoke	Filed	2018-09-07	Notice to Dissolve/Revoke
Reinstatement	Filed	2017-12-27	Reinstatement For BOONEVILLE CHIROPRACTIC CLINIC, P.A.
Admin Dissolution	Filed	2017-12-06	Admin Dissolution: AR

USAspending Awards / Financial Assistance

Date:

2020-07-23

Link:

View on USAspending

Awarding Agency Name:

Small Business Administration

Transaction Description:

TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS

Obligated Amount:

0.00

Face Value Of Loan:

59700.00

Total Face Value Of Loan: