| Name: | Coastal Inpatient Physicians, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Dissolved |
| Date of registration: | 22 Jun 2012 (12 years ago) |
| Date of dissolution: | 19 Sep 2012 |
| Entity Number: | 000-065-267 |
| Register Number: | 000065267 |
| County: | Baldwin |
| Place of Formation: | Baldwin County |
| Registered Office Street Address: | 10 N SECTION STREET #99FAIRHOPE, AL 36532 |
| Registered Office Street Address ZIP Code: | 36532 |
| Authorized Capital: | 5,000 @ $ 1 PV |
Activities
PRACTICE MEDICINE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1700140779 | 2012-06-25 | 2012-06-25 | 10 N SECTION ST # 99, FAIRHOPE, AL, 365322205, US | 750 MORPHY AVE, FAIRHOPE, AL, 365321812, US | |||||||||||||
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| Phone | +1 251-988-1117 |
Authorized person
| Name | DR. SUSAN L SMITH |
| Role | OWNER |
| Phone | 2519881117 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SMITH, SUSAN | Agent | 10 N SECTION STREET #99FAIRHOPE, AL 36532 |
| Name | Role | Address |
|---|---|---|
| SMITH, SUSAN | Incorporator | 10 N SECTION STREET #99FAIRHOPE, AL 36532 |
| Name | Role | Address |
|---|---|---|
| SMITH, SUSAN | Director | 10 N SECTION STREET #99FAIRHOPE, AL 36532 |
Date of last update: 31 Jul 2024
Sources: Alabama Secretary of State
