| Name: | ALLEN ORTHOPEDICS, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 18 Jan 2012 (13 years ago) |
| Entity Number: | 000-037-549 |
| Register Number: | 000037549 |
| County: | Mobile |
| Place of Formation: | Mobile County |
| Registered Office Street Address: | 5613 COTTAGE HILL ROADMOBILE, AL 36609 |
| Registered Office Street Address ZIP Code: | 36609 |
| Registered Office Mailing Address: | 601 BISHOP LANEMOBILE, AL 36608 |
| Registered Office Mailing Address ZIP Code: | 36608 |
Activities
PARTICIPATE IN HEALTH AND MEDICAL RELATED BUSINESSES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1972866457 | 2012-06-20 | 2012-06-20 | 5613 COTTAGE HILL RD, MOBILE, AL, 366094210, US | 5613 COTTAGE HILL RD, MOBILE, AL, 366094210, US | |||||||||||||||||||||||
|
|||||||||||||||||||||||||||
| Phone | +1 251-665-5127 |
| Fax | 2156655159 |
Authorized person
| Name | DR. HERBERT VICTOR ALLEN III |
| Role | PRESIDENT |
| Phone | 2516655127 |
Taxonomy
| Taxonomy Code | 207X00000X - Orthopaedic Surgery Physician |
| License Number | MD9362 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | RAILROAD MEDICARE |
| Number | 200025494 |
| Name | Role | Address |
|---|---|---|
| ALLEN, HERBERT V III | Agent | 5613 COTTAGE HILL ROADMOBILE, AL 36609 |
| Name | Role | Address |
|---|---|---|
| ALLEN, HERBERT V III | Organizer | 5613 COTTAGE HILL ROADMOBILE, AL 36609 |
Date of last update: 30 Jul 2024
Sources: Alabama Secretary of State
