| Name: | PRO-FIT, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 19 Jun 1996 (28 years ago) |
| Entity Number: | 000-180-498 |
| Register Number: | 000180498 |
| County: | Shelby |
| Place of Formation: | Shelby County |
| Principal Address: | BIRMINGHAM, AL |
| Registered Office Street Address: | 4500 VALLEYDALE RD STE 2200BIRMINGHAM, AL 35242 |
| Registered Office Street Address ZIP Code: | 35242 |
| Authorized Capital: | $100,000 |
| Paid Share Capital: | $1,000 |
Activities
MEDICAL GOODS/EQUIPMENT
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1619952447 | 2005-12-14 | 2014-04-17 | PO BOX 380248, BIRMINGHAM, AL, 352380248, US | 2417 3RD AVE S, BIRMINGHAM, AL, 352332514, US | |||||||||||||||||||||||||||||||
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| Phone | +1 205-326-0050 |
| Fax | 2053242226 |
Authorized person
| Name | MR. WALTER ANDREW HOWELL |
| Role | PRESIDENT/OWNER |
| Phone | 2059917494 |
Taxonomy
| Taxonomy Code | 335E00000X - Prosthetic/Orthotic Supplier |
| License Number | 489 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 009911850 |
| State | AL |
| Issuer | BLUE CROSS & BLUE SHIELD |
| Number | 51033877 |
| State | AL |
| Name | Role |
|---|---|
| HOWELL, WALTER A | Agent |
| Name | Role |
|---|---|
| HOWELL, WALTER A | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
