| Name: | Orthopaedic and Sports Medicine of Mobile, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Dissolved |
| Date of registration: | 01 Aug 1991 (33 years ago) |
| Date of dissolution: | 30 Dec 2009 |
| Entity Number: | 000-144-527 |
| Register Number: | 000144527 |
| Historical Names: |
Albert F. Haas, M.D., P.C.
Haas & Holland, M.D., P.C. |
| County: | Mobile |
| Place of Formation: | Mobile County |
| Principal Address: | MOBILE, AL |
| Registered Office Street Address: | 6701 AIRPORT BLVD STE A-209MOBILE, AL 36608 |
| Registered Office Street Address ZIP Code: | 36608 |
| Authorized Capital: | $5,000 |
Activities
PRACTICE OF MEDICINE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1528084787 | 2006-07-14 | 2020-08-22 | 6701 AIRPORT BLVD, D146, MOBILE, AL, 366086705, US | 6701 AIRPORT BLVD, D146, MOBILE, AL, 366086705, US | |||||||||||||||||||||||||||||||
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| Phone | +1 251-639-7283 |
| Fax | 2516397460 |
Authorized person
| Name | MS. WENDY A STUCKEY |
| Role | BILLING MANAGER |
| Phone | 2516313004 |
Taxonomy
| Taxonomy Code | 207XX0005X - Sports Medicine (Orthopaedic Surgery) Physician |
| License Number | 13229 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NPI |
| Number | 1265410658 |
| State | AL |
| Issuer | NPI |
| Number | 1083692479 |
| State | AL |
| Name | Role |
|---|---|
| HAAS, ALBERT F MD | Agent |
| Name | Role |
|---|---|
| HAAS, ALBERT F | Incorporator |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 1998-07-10 | Name Change | Albert F. Haas, M.D., P.C. | Orthopaedic and Sports Medicine of Mobile, P.C. |
| 1995-08-04 | Name Change | Haas & Holland, M.D., P.C. | Albert F. Haas, M.D., P.C. |
| 1993-08-25 | Name Merged | No data | Gilbert R. Holland, M.D., P.C. |
| 1993-08-25 | Name Change | Albert F. Haas, M.D., P.C. | Haas & Holland, M.D., P.C. |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
