| Name: | Alabama Sports, Spine & Occupational Medicine Associates, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 14 Jun 2011 (13 years ago) |
| Entity Number: | 000-015-951 |
| Register Number: | 000015951 |
| County: | Montgomery |
| Place of Formation: | Montgomery County |
| Registered Office Street Address: | 150 SOUTH PERRY STMONTGOMERY, AL 36104 |
| Registered Office Street Address ZIP Code: | 36104 |
| Authorized Capital: | 5,000 @ $1 PV |
Activities
SPORTS/SPINE/OCCUPATIONAL MEDICINE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1740576610 | 2011-06-20 | 2011-06-21 | 242 WINTON BLOUNT LOOP, MONTGOMERY, AL, 361173501, US | 242 WINTON BLOUNT LOOP, MONTGOMERY, AL, 361173501, US | |||||||||||||
|
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| Phone | +1 319-350-2208 |
Authorized person
| Name | MR. MICHAEL DONIAL JACKSON |
| Role | PRESIDENT |
| Phone | 3193502208 |
Taxonomy
| Taxonomy Code | 2081S0010X - Sports Medicine (Physical Medicine & Rehabilitation) Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| JOHNSON, D K | Agent | 150 S PERRY STMONTGOMERY, AL 36104 |
| Name | Role | Address |
|---|---|---|
| JACKSON, MICHAEL DONIEL | Director | 444 FAIRWAY TERRACE SECEDAR RAPIDS, IA 52403 |
| Name | Role | Address |
|---|---|---|
| JOHNSON, D K | Incorporator | 150 S PERRY STMONTGOMERY, AL 36104 |
Date of last update: 30 Jul 2024
Sources: Alabama Secretary of State
