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D-Four, Inc.

Details

Name: D-Four, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Dissolved
Date of registration: 01 Jul 1985 (39 years ago)
Date of dissolution: 03 Nov 2009
Entity Number: 000-104-794
Register Number: 000104794
County: Tuscaloosa
Place of Formation: Tuscaloosa County
Principal Address: TUSCALOOSA, AL
Registered Office Street Address: 121 UNIVERSITY MALLTUSCALOOSA, AL 35405
Registered Office Street Address ZIP Code: 35405
Authorized Capital: $1,000

Activities EYE GLASSES & LENSES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1669513354 2007-02-08 2020-08-22 1701 MCFARLAND BLVD E, 121 UNIVERSITY MALL, TUSCALOOSA, AL, 354045824, US 1701 MCFARLAND BLVD E, 121 UNIVERSITY MALL, TUSCALOOSA, AL, 354045824, US

Contacts

Phone +1 205-556-2490
Fax 2055568299

Authorized person

Name WILMA DEFORD
Role PRESIDENT
Phone 2055562490

Taxonomy

Taxonomy Code 332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary Yes

Other Provider Identifiers

Issuer BLUE CROSS-BLUE SHIELD
Number 510-59763
State AL

Agent

Name Role
DICKEY, WILMA P Agent

Incorporator

Name Role
DICKEY, WILMA P Incorporator

Date of last update: 31 Jul 2024

Sources: Alabama Secretary of State