Search icon

Coastal Neurological Institute, P.C.

Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role
FOSTER, THOMAS ELLIOTT Agent

Incorporator

Name Role
COASTAL NEUROLOGICAL INSTITUTE PA Incorporator

Events

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