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Interventional Pain Solutions, LLC

Details

Name: Interventional Pain Solutions, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 31 Jan 2013 (12 years ago) (Companies founded in January 2013)
Entity Number: 000-068-335
Register Number: 000068335
ZIP code: 35235 (Companies in Jefferson, 35235)
County: Jefferson
Place of Formation: Jefferson County
Registered Office Street Address: 1430 GADSDEN HIGHWAY STE 116 PMB 150BIRMINGHAM, AL 35235

Activities PROVIDE HEALTHCARE SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1346589736 2013-02-05 2013-02-05 1430 GADSDEN HWY, SUITE 116 - 150, BIRMINGHAM, AL, 352353126, US 1430 GADSDEN HWY, SUITE 116 - 150, BIRMINGHAM, AL, 352353126, US

Contacts

Phone +1 205-834-4082

Authorized person

Name DR. RICHARD H MAUGHON
Role OWNER
Phone 2058344082

Taxonomy

Taxonomy Code 207LP2900X - Pain Medicine (Anesthesiology) Physician
License Number 21909
State AL
Is Primary Yes

Agent

Name Role Address
MAUGHON, RICHARD H Agent 9768 GUERNSEY LANETUSCALOOSA, AL 35405

Organizer

Name Role Address
MAUGHON, RICHARD H Organizer 9768 GUERNSEY LANETUSCALOOSA, AL 35405
HAGER, KIMBERLY L Organizer 1901 SIXTH AVENUE NORTH SUITE 1500BIRMINGHAM, AL 35203

Date of last update: 31 Jul 2024

Sources: Alabama Secretary of State