Name: | Coastal Neurological Institute, P.C. |
Jurisdiction: | Alabama |
Legal type: | Domestic Professional Corporation |
Status: | Exists |
Date of registration: | 14 Jan 1980 (45 years ago) (Companies founded in January 1980) |
Entity Number: | 000-059-648 |
Register Number: | 000059648 |
Historical Names: |
Neurosurgery, P.A.
Coastal Neurological Institute, P.A. |
ZIP code: | 36606 (Companies in Mobile, 36606) |
County: | Mobile |
Place of Formation: | Mobile County |
Registered Office Street Address: | 3280 DAUPHIN STMOBILE, AL 36606 |
Authorized Capital: | 20,000@$1.00PV |
Activities
PRACTICE OF MEDICINE
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1740212174 | 2006-07-07 | 2020-08-22 | 3280 DAUPHIN ST, SUITE A, MOBILE, AL, 366064060, US | 3280 DAUPHIN ST, SUITE A, MOBILE, AL, 366064060, US | |||||||||||||||||||||||||||
|
Phone | +1 251-450-3700 |
Fax | 2516623819 |
Authorized person
Name | DR. WILLIAM B FAIRCLOTH |
Role | PRESIDENT |
Phone | 2514503700 |
Taxonomy
Taxonomy Code | 207T00000X - Neurological Surgery Physician |
License Number | 16395 |
State | AL |
Is Primary | No |
Taxonomy Code | 2081P2900X - Pain Medicine (Physical Medicine & Rehabilitation) Physician |
License Number | 20439 |
State | AL |
Is Primary | No |
Name | Role |
---|---|
FOSTER, THOMAS ELLIOTT | Agent |
Name | Role |
---|---|
COASTAL NEUROLOGICAL INSTITUTE PA | Incorporator |
Event Date | Event Type | Old Value | New Value |
---|---|---|---|
2020-01-10 | Capital Change | $10,000 Authorized --- Paid In | 20,000@$1.00PV Authorized undefined Paid In |
2001-12-03 | Name Change | Coastal Neurological Institute, P.A. | Coastal Neurological Institute, P.C. |
2001-12-03 | Capital Change | --- Authorized --- Paid In | $10,000 Authorized --- Paid In |
1999-01-04 | Name Change | Neurosurgery, P.A. | Coastal Neurological Institute, P.A. |
Date of last update: 31 Jul 2024
Sources: Alabama Secretary of State