| Name: | Frank H. Rudeseal, M.D., P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 01 May 1987 (38 years ago) |
| Entity Number: | 000-117-070 |
| Register Number: | 000117070 |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Principal Address: | BIRMINGHAM, AL |
| Registered Office Street Address: | 1804 POST OAK RDBIRMINGHAM, AL 35216 |
| Registered Office Street Address ZIP Code: | 35216 |
| Authorized Capital: | $100 |
| Paid Share Capital: | $100 |
Activities
MEDICINE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1922218270 | 2007-05-23 | 2020-03-31 | PO BOX 936, JEMISON, AL, 350850936, US | 2057 VALLEYDALE RD STE 220, HOOVER, AL, 352442706, US | |||||||||||||||||||||||||||||||
|
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| Phone | +1 205-949-1990 |
| Phone | +1 205-949-1980 |
Authorized person
| Name | DR. FRANK H RUDESEAL |
| Role | PHYSICIAN |
| Phone | 2059491980 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | 00011696 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 000025063 |
| State | AL |
| Issuer | BCBS |
| Number | 25063 |
| State | AL |
| Name | Role |
|---|---|
| RUDESEAL, FRANK H MD | Agent |
| Name | Role |
|---|---|
| RUDESEAL, FRANK H MD | Incorporator |
Date of last update: 31 Jul 2024
Sources: Alabama Secretary of State
